Benign gynecologic conditions associated with a CA-125 level > 1,000 U/mL. A case report.

In: PubMed · 1996 · vol. 41(3) , pp. 179–82 · W205929396
Case report OA: closed CC0 ⤵ 9 in-corpus citations
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A high CA-125 level (>1,000 U/mL) in a patient with dysmenorrhea was associated with benign cystic adenomyosis and uterine endometriosis.

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Abstract

CA-125 was initially investigated as a marker of ovarian cancer. However, various studies have noted that it can be minimally elevated in benign conditions.A case of CA-125 > 1,000 U/mL was associated with benign gynecologic conditions. A 37-year-old woman with a history of endometriosis and premature ovarian failure underwent hormonal therapy for donor in vitro fertilization. After an unsuccessful cycle, severe dysmenorrhea developed. Investigation revealed a CA-125 level of 1,036 U/mL and a uterine mass. On exploratory laparotomy, cystic adenomyosis and uterine endometriosis was found. After excision of these areas, the CA-125 levels returned to normal. In this case, cystic adenomyosis and endometriosis of the uterine serosa were responsible for the elevated CA-125 level.Very high levels of CA-125 are not always associated with a malignant process.

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Condition tags

endometriosisadenomyosisdysmenorrhea

Citation neighborhood (2-hop)

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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