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

Canan Kelten, Nagihan Yalçın, Şermin ÇOBAN, Şermin Çoban Kökten, Erkan Alataş, Metin Akbulut
In: Turkiye Klinikleri Journal of Medical Sciences · 2010 · vol. 30(5) , pp. 1732–1736 · doi:10.5336/medsci.2008-9263 · W2029790653
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Abstract

Uterus-like ovarian mass is a rare benign entity with controversial etiopathogenesis. A 37 -year-old woman, gravida 2, para 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.

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endometriosis

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