extra-ordinary high ca-125 and ca19-9 serum levels in an ovarian endometrioma: case report
نویسندگان
چکیده
endometriosis is an estrogen dependent disease. levels of cancer antigen-125 are significantly higher in women with moderate to severe endometriosis. however, patients with unruptured endometriosis rarely have serum ca-125 levels more than 1000 u/ml. this case report presents a diffuse, unruptured ovarian endometrioma in a 29- year-old woman, leading to an extraordinary high serum ca-125 and ca19-9 levels; usually typical of advanced ovarian carcinoma. our experience emphasizes on benign gynecologic conditions such as endometrioma, which should be taken into account as a possible differential diagnosis in women with exaggerated elevation of the serum ca-125 level.
منابع مشابه
Ovarian endometrioma associated with very high serum CA-125 levels.
CA-125 is a 220-kD cell surface glycoprotein present in over 80% of non-mucinous epithelial ovarian carcinomas and it occurs in the serum of healthy males and females at low concentrations (< 35 U/mL). Serum CA-125 concentration may also be moderately elevated in several benign conditions, such as pelvic inflammatory disease, uterine fibroids, pregnancy, spontaneous abortion with chromosomal ab...
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A 35 yr old lady, para 2, living 2, with 2 previous caesarean sec tions, presented with the features of acute abdomen. The clinical and laboratory evaluations revealed a bilateral ovarian mass with solid and cystic components, with raised serum CA125 levels and raised ESR. The differential diagnosis included abdominal or genital tuberculosis, secondary carcinoma of the ovaries and endometriom...
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متن کاملflorid adnexal polypoid endometriosis associated with very high serum ca - 125 levels mimicking ovarian malignancy
we report a case of florid polypoid endometriosis presenting with advanced bulky disease in pelvis with serum ca – 125 levels of 7844u/ml. the extent of tumor, ct scan findings, elevated serum ca – 125 levels were suggestive of ovarian malignancy. histopathology demonstrated endometrial glands and stroma. glands were neither crowded nor complex and were separated by a fibromatous stroma that co...
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عنوان ژورنال:
journal of family and reproductive healthجلد ۳، شماره ۲، صفحات ۶۷-۷۰
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