“…4 Although often associated with malignancy, non-neoplastic presentations of PFPA have been described. 5,6 Non-paraneoplastic PFPA syndrome has been seen in association with tuberculosis, thyroid disease, benign ovarian cyst and as an isolated finding. 6 In paraneoplastic cases the most frequent associated malignancy is ovarian cancer, 4 but other tumours reported include gastric cancer, 7 colonic carcinoma, 7 pancreatic carcinoma, 8 nonsmall cell lung cancer, 9 breast cancer, 10 tubal carcinoma, 11 cervical carcinoma 3 and prostate cancer.…”