Coexistence of struma ovarii with marked ascites and elevated CA-125 levels: case report and literature review.

Abstract

INTRODUCTION:

Struma ovarii is a rare form of ovarian neoplasm and consists mainly of thyroid tissue. Ascites has been reported in approximately one-third of all the cases. However, the combination of struma ovarii and elevated CA-125 has rarely been reported.

MATERIALS AND METHODS:

We described a case of benign struma ovarii, presenting with the clinical features of ovarian cancer: large complex pelvic mass, gross ascites and markedly elevated serum CA-125 levels. Surgical excision of the ovarian mass was followed by rapid resolution of the ascites and reduction of the serum CA-125 level.

CONCLUSION:

Struma ovarii can mimic ovarian malignancy clinically, when presented with ascites and an elevated CA-125 level.

• Authors: Mabel Po Mui, Kar-Fai Tam, Fiona K Y Tam, Hextan Y S Ngan
• Journal: Archives of gynecology and obstetrics (Arch Gynecol Obstet) Vol. 279 Issue 5 Pg. 753-7 (May 2009) ISSN: 1432-0711 [Electronic] Germany
• PMID: 18807056 (Publication Type: Case Reports, Journal Article, Review)

Chemical References

• Biomarkers, Tumor
• CA-125 Antigen

Topics

• Ascites (blood, complications)
• Biomarkers, Tumor (blood)
• CA-125 Antigen (blood)
• Female
• Humans
• Middle Aged
• Ovarian Neoplasms (blood, complications, pathology)
• Struma Ovarii (blood, complications, pathology)