Endometriosis mimicking advanced ovarian cancer
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This case report details a patient presenting with endometriosis that mimicked advanced ovarian cancer, highlighting the importance of considering benign conditions in the differential diagnosis of suspected malignancies.
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Abstract
ObjectiveTo report a case of endometriosis associated with massive ascites, pleural effusion, and extremely elevated Ca-125.DesignCase report.SettingUniversity hospital.Patient(s)A 46-year-old, white nulligravida with bilateral adnexal masses, Ca-125 of 3,504 U/mL, abdominal pain, ascites, and a pleural effusion.Intervention(s)Chemotherapy followed by exploratory laparotomy for suspected ovarian cancer.Main outcome measure(s)Surgical findings and histopathology.Result(s)Intraoperative examination and histology ruled out malignancy but found stage IV endometriosis.Conclusion(s)In rare instances advanced endometriosis may be associated with ascites, pleural effusions, and large pelvic masses. For this reason endometriosis should be included in the differential diagnosis of reproductive-age women presenting with apparent ovarian malignancy.
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Cited by (34)
- Endometrioma With Hemorrhagic Ascites Mimicking Ovarian Malignancy: A Case Report 2026
- Endometriosis-associated massive ascites in a young Nigerian lady 2023
- Pleural effusion secondary to endometriosis: A systematic review 2023
- Peritoneal endometriosis presenting as fever of unknown origin, ascites and peritoneal miliary spread: A rare case report and review of the literature 2022
- Clinicopathological Characteristics and Outcomes of Patients With Endometriosis-Related Hemorrhagic Ascites: An Updated Systematic Review of the Literature 2022
- Endometriosis-Associated Ovarian Cancer: What Are the Implications for Women with Intact Endometrioma Planning for a Future Pregnancy? A Reproductive Clinical Outlook 2022
- Endometriosis-Related Pleural Effusion: A Case Report and a PRISMA-Compliant Systematic Review 2021
- Clinical Presentation and Management of Endometriosis-Related Hemorrhagic Ascites: A Case Report and Systematic Review of the Literature 2021
- Gross Ascites Secondary to Endometriosis: A Rare Presentation in Pre-Menopausal Women 2021
- Endometriosis‐Associated Massive Ascites in an Asian Woman: A Case Report of a Rare Clinical Entity 2020
- Novel triple therapy for hemorrhagic ascites caused by endometriosis: A case report 2020
- Clinical implication of endometriosis in the surgical management of early ovarian cancer 2020
- Novel triple therapy for hemorrhagic ascites caused by endometriosis: A case report 2020
- Gynecology & Obstetrics Case report 2020
- Endometriosis on the surface of the uterus mimicking a malignant tumor 2019
- Endometriosis Mimicking an Advanced Malignant Tumor 2016
- Recurrent massive ascites due to mossy endometriosis 2016
- Histology of endometriosis-associated ovarian carcinomas 2015
- A pseudoneoplastic finding of deep endometriosis: laparoscopic triple segmental bowel resection. 2014
- Endometriosis After Surgical Menopause Mimicking Pelvic Malignancy: Surgeons’ Predicament 2014
- A Case Presentation: Decidualized Endometrioma Mimicking Ovarian Cancer during Pregnancy 2013
- Endometriosis Presenting with Massive Ascites and Pleural Effusion: A Case Report 2013
- Severe endometriosis may be considered in the differential diagnosis in young women presenting massive hemorrhagic ascites 2011
- Relation of high CA125 and CA19-9 levels with recent rupture of endometrioma 2011
- Clear cell adenocarcinoma of the ovary arising in atypical endometriosis: a report of eight cases 2011
- Endometriosis-associated infertility: surgery and IVF, a comprehensive therapeutic approach 2010
- A systematic review: endometriosis presenting with ascites 2010
- Endometriosis Mimicking Ovarian Cancer in the Setting of Acquired Immune Deficiency Syndrome 2009
- Ascites and Ileus due to Endometriosis 2009
- Pathophysiology of Cyclic Hemorrhagic Ascites and Endometriosis 2008
- Massive ascites as a presentation in a young woman with endometriosis: a case report 2008
- Differential Diagnosis of Gynecologic Organ-Related Diseases in Women Presenting with Ascites 2008
- Recurrent Hemorrhagic Ascites 2007
- 10.51847/6hd0rsbqk9g828 2000
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- last seen: 2026-08-02T06:10:09.037253+00:00
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- pubmed
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