Uterus-Like Ovarian Mass with Elevated Serum Levels of CA 19-9 and CA 125: A Case Report and Review of the Literature

Kelten C., Yalcin N., Coban S., Alatas E., Akbulut M.

TURKIYE KLINIKLERI TIP BILIMLERI DERGISI, cilt.30, sa.5, ss.1732-1736, 2010 (SCI-Expanded) identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 30 Sayı: 5
  • Basım Tarihi: 2010
  • Doi Numarası: 10.5336/medsci.2008-9263
  • Dergi Adı: TURKIYE KLINIKLERI TIP BILIMLERI DERGISI
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.1732-1736
  • Anahtar Kelimeler: Endometriosis, CA 19-9 antigen, adenomyoma, FALLOPIAN-TUBE, ENDOMETRIOSIS, BENIGN, CA-125
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Uterus-like ovarian mass is a rare benign entity with controversial etiopathogenesis. A 37-year-old woman, gravida 2, pars 2, presented with the complaint of pain in right lower abdominal quadrant. Physical evaluation revealed tenderness in this area and the ultrasonographic examination showed a right adnexial mass. Biochemical blood tests showed minimal leucocytosis and elevated serum levels of both CA 19-9: 117.79 mIU/mL (N: 0-37) and CA 125: 41.4 u/mL (N: 0-35). To exclude a malignancy, the specimen was examined with frozen sections and was subsequently diagnosed as endometriosis. Therefore, the surgical procedure was limited to right salpingo-oophorectomy. The right ovary was 6 x 4 x 2.5 cm in size and the dissected surface of ovary resembled a miniature uterus. Histologic sections as well as immunohistochemistry (smooth muscle actin, caldesmon and CD10) were consistent with the endometrial mucosal tissue that surrounded the bundles of smooth muscle.