Pelvic endometriosis mimicking advanced ovarian cancer: presentation with pleural effusion, ascites, and elevated serum CA 125 level

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Two patients with endometriosis presented with pleural effusions, ascites, and elevated CA 125 levels, mimicking stage IV epithelial ovarian cancer.

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Abstract

Two patients with clinical complications of endometriosis mimicking stage IV epithelial ovarian cancer are described. One had bilateral pleural effusions, ascites, and a serum CA 125 level of 440 U/ml. The other had a right-sided pleural effusion and a large abdominal mass.

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Condition tags

endometriosis

MeSH descriptors

Ascites CA-125 Antigen Endometriosis Ovarian Neoplasms Pleural Effusion Aged CA-125 Antigen Diagnosis, Differential Endometriosis Endometriosis Endometriosis Female Humans Hysterectomy Middle Aged

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Source provenance

europepmc
last seen: 2026-10-02T06:17:20.788884+00:00
pubmed
last seen: 2026-05-13T22:11:13.665691+00:00
unpaywall
last seen: 2026-10-02T06:31:42.897446+00:00
License: public-domain-us · commercial use OK · attribution required
Courtesy of the U.S. National Library of Medicine