Endometrioma mimicking ovarian cancer with unusual high levels of serum CA 125 and Ca 19-9

Year 2013, Volume: 2 Issue: 4, 170 - 173, 26.03.2014

Nuri Peker Ahmet Demir Özgür Bige

Abstract

Abstract

A 35 year-old nulliparous woman was referred to our clinic with left ovarian mass (6x7 cm in size) accompanied by excessive free fluid at pouch of Douglas and elevated levels of serum CA 125 and CA 19-9 as 1061 IU/mL and 896 IU/mL, respectively. Laparotomy was performed with the suspect of ovarian cancer. Left ovarian endometrioma adherent to the sigmoid colon was observed and enuclated. Histopathological examination confirmed the diagnosis of endometrioma. Adnexal mass with free peritoneal fluid and high levels of tumor antigens; CA 125 and CA 19-9 mimicking ovarian cancer has been rarely diagnosed as endometrioma.

Keywords: CA 125, CA 19-9, endometriosis

Özet

Otuz beş yaşında, nullipar bir kadın adneksial kitle nedeni ile kliniğimize sevk edildi. Douglas boşluğunda belirgin sıvı birikimi ve yüksek CA 125 (1061 IU/mL) ve CA 19-9 (896 IU/mL) seviyeleri ile birlikte 6x7 cm boyutlarında sol over kitlesi vardı. Over kanseri ön tanısı ile laparotomi yapıldı. Sol yumurtalıkta sigmoid kolona yapışık endometrioma bulundu ve çıkartıldı. Histopatolojik inceleme endometrioma tanısını doğruladı. Asit ve yüksek CA 125 ve CA 19-9 düzeyleri ile birlikte olan yumurtalık kanserini taklit eden endometrioma nadir saptanan bir durumdur.

Anahtar sözcükler: CA 125, CA 19-9, endometrioma

Keywords

CA 125, CA 19-9, endometriosis

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