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Paraneoplastic cerebellar syndrome (PCD) is a rare, neurological disorder that primarily emerges before the detection of malignancy. We present a case involving a 52-year-old woman who was diagnosed and treated for primary ovarian cancer in 2005. In 2007, the patient exhibited ataxia, dysarthria and peripheral neuropathy. Following neurological assessment and immunologic testing, the diagnosis of PCD was made. The disease typically precedes the detection of malignancy by a year or more and has been documented in only a few cases following the treatment for ovarian cancer.

Sarcoidosis rarely coincides with gynecologic malignancy and thus, may be misdiagnosed as metastatic cancer. We present a 50-year-old patient who was initially treated for cervical carcinoma. She later presented with persistent coughing and mediastinal lymphadenopathy, suspicious for metastatic disease. Following final pathology, a diagnosis of sarcoidosis was made. Sarcoidosis is rarely associated with cervical carcinoma. However, the disease should be considered when metastatic pulmonary disease is suspected in order to avoid excessive or inappropriate treatment.

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