Case Report

Clear Cell Carcinoma of the Endometrium Causing Paraneoplastic Retinopathy: Case Report and Review of the Literature

Table 1

Reported gynecologic cancers associated with paraneoplastic retinopathy.

Reference Age at diagnosisOrigin of cancerInterval between diagnosis of primary tumor and onset of visual symptoms (months)Interval from visual symptoms to death (months)

[2]62Endometrioid sarcoma + 5 7
[3]77Poorly differentiated adenocarcinoma of the ovary −23 23
[4]60Papillary cystadenocarcinoma of ovary + 7 NA
[5]50Uterine cancer + 3 6 No information
[6]89Poorly differentiated carcinoma of ovary −15 15
[7]61Undifferentiated neoplasm of the cervix uteri −7 20
[8]64Undifferentiated endometrial adenocarcinomaInitial diagnosis: +8
recurrence: −3
3
[9]68Carcinoma of the cervix −3 12
65Serous cystadenocarcinoma of ovary + 2 4 Well after 78 months
[10]63Clear cell carcinoma of ovary −5 8
[11]72Uterine small cell carcinoma −2 6
[12]65Malignant mixed mullerian tumor (homologous) of the endometrium −1 NA
[13]77Anaplastic uterine carcinoma + 1 0 NA
[14]60Endometrial carcinomaInitial diagnosis: −3
recurrence: −11
27
[15]67Small-cell endometrial carcinoma + 1 2 4
[16]35Carcinoid tumour of cervixArticle in german
[17]60Mixed-type small cell carcinoma of endometriumInitial diagnosis: −4
recurrence: −18
30
[18]55Clear cell carcinoma of ovary + 2 7 4
[19]75Poorly differentiated adenocarcinoma of the ovary −11 Not stated; patient died after 6 courses of chemotherapy
[1]77Adenocarcinoma cervix−0.5 –1NA
[20]35Serous ovarian cancer and endometrial carcinomaInitial diagnosis: + 2 4
recurrence: + 1
6
[21]70Uterine cancer + 1 2 54
[22]58Small cell undifferentiated carcinoma with minor components of endometroid and mucinous grade 1/3 of the endometrium −1 2
[23]57Uterine small cell carcinoma −1.5 NA
[24]66Endometrial carcinoma + 4 NA
[25]67Endometrial carcinomaConcomitantNA
[26]68Adenocarcinoma of cervix −48 NA
[27]70Neuroendocrine carcinoma of fallopian tube −22 NA
Current62Clear cell carcinoma of the uterus + 8 NA

The interval between diagnosis of the inciting tumor and the diagnosis of retinopathy is listed as positive numbers if the inciting tumor was diagnosed before the diagnosis of retinopathy and as negative numbers if the inciting tumor was diagnosed after the diagnosis of retinopathy.
NA: patient alive at the time of publication.