Endometriosis peritoneal masiva asociada a gran elevación de CA-125: discrepancia entre hallazgos y clínica
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Abstract
Antecedentes: Frecuentemente, las pacientes con endometriosis presentan una elevacin de marcadores tumorales Ca 125 y Ca 19.9. No obstante, no existe correlacin clara con la expresin clnica ni con el grado de afectacin. En algunos casos, es necesario un diagnstico diferencial con patologas malignas. Caso clnico: Mujer de 29 aos con clnica aislada de dismenorrea moderada y hallazgo de masas ovricas bilaterales con elevacin intensa de marcadores tumorales: Ca-125: 7.716 U/mL y Ca-19.9: 995 U/mL. Se decide intervencin quirrgica laparoscpica evidencindose endometriosis ovrica y extensin peritoneal masiva con afectacin de peritoneo parietal abdominal, superficie uterina, fondo de Douglas, parametrios, vejiga, hemidiafragma derecho, hgado y serosa intestinal. Se realiza adhesiolisis cuidadosa, quistectoma y extirpacin de mltiples implantes endometrisicos en cavidad abdominal. Se observ un descenso de los marcadores a las 48 horas: Ca-125 de 253 U/mL y Ca 19.9 de 4,9 U/mL, ambos negativos al mes de la ciruga. Conclusin: Una elevacin intensa de los marcadores tumorales precisa de diagnstico diferencial en el contexto de la endometriosis. Existe una gran discrepancia entre los valores de los marcadores tumorales con la clnica y severidad de la endometriosis. Los hallazgos quirrgicos son fundamentales, evidenciando una afectacin masiva subdiagnosticada hasta la ciruga.
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- last seen: 2026-06-10T17:14:06.276822+00:00
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