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[Case Report] The empress of subterfuge: cancer of the fallopian tube presenting with malapropism

A 58-year-old realtor presented to her community hospital with an acute left-sided facial droop in December, 2015. She reported that in the past 2 months her children had noticed (and teased her for) malapropisms (video 1), but she had no other symptoms and had continued to manage complicated sales. She did not smoke and consumed alcohol occasionally. Her body-mass index was 23 kg/m2. On examination she had a left lower facial weakness and made occasional paraphasic errors during speech. Her platelet count was 117 × 109 per L (normal range 140–450 × 109 cells L), and blood glucose, cholesterol, and triglycerides were slightly raised.