Ovarian endometrioma associated with very high serum CA-125 levels
JOURNAL OF ENDOMETRIOSIS AND PELVIC PAIN DISORDERS, cilt.1, sa.2, ss.110-112, 2009 (ESCI)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 1 Sayı: 2
- Basım Tarihi: 2009
- Doi Numarası: 10.1177/228402650900100207
- Dergi Adı: JOURNAL OF ENDOMETRIOSIS AND PELVIC PAIN DISORDERS
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI)
- Sayfa Sayıları: ss.110-112
- Anahtar Kelimeler: Endometrioma, CA-125
- Ondokuz Mayıs Üniversitesi Adresli: Evet
Özet
The magnitude of the elevation is important and levels > 200 U/ml are potentially associated with ovarian malignancies, whereas slight increases in levels were associated with benign gynecologic conditions. However, serum CA-125 levels > 1000 U/ml have also been reported in patients with endometriosis. Herein, the authors report an additional case of high levels of CA-125 in large unruptured endometrioma. We present a patient with moderate sized bilateral ovarian endometrioma who was undergoing laparotomy and who had CA-125 levels of 3782 U/mL. Our case further emphasizes that very high levels of CA-125 are not always associated with malignant disease and no critical cutoff value for CA-125 is diagnostic of malignancy.