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Tubo-Ovarian Abscess with Highly Elevated CA125 Level is Misdiagnosed as Ovarian Cancer: A Case Report.
- Source :
- Journal of Obstetrics, Gynecology & Cancer Research; Jul/Aug2024, Vol. 9 Issue 4, p471-474, 4p
- Publication Year :
- 2024
-
Abstract
- Complex pelvic masses with elevated CA125 could be due to malignant and benign condition. Tubo-ovarian abscess, with irritation of the peritoneum, could increase the level of CA125 and mimic advanced ovarian cancer. Preoperatively, high accuracy radiological evaluation can reduce the high risk and unnecessary laparotomies. The patient was a 50-year-old near menopause woman with abdominal pain, fever and recent vaginal bleeding with highly elevated CA125(>4000 u/ml) and complex pelvic mass, suspected of ovarian cancer with final pathology of tubo- ovarian abscess (TOA). Misdiagnosed TOA with ovarian cancer only based on highly elevated CA_125 and performing upfront radical surgery in stable patients could result in visceral injury. [ABSTRACT FROM AUTHOR]
- Subjects :
- DIAGNOSIS of endometriosis
HYSTERECTOMY
PHYSICAL diagnosis
LEUKOCYTE count
APPENDIX (Anatomy)
SALPINGO-oophorectomy
PELVIS
PLATELET count
OVARIAN tumors
ABDOMINAL pain
COMPUTED tomography
HEMOGLOBINS
ABDOMINAL surgery
TISSUE adhesions
TUMOR markers
DIAGNOSTIC errors
FEVER
BLOOD sedimentation
DOXYCYCLINE
SERUM
VANCOMYCIN
MEDICAL drainage
METRONIDAZOLE
PELVIC abscess
FALLOPIAN tubes
TUMOR antigens
OVARIES
HEMORRHAGE
MEROPENEM
Subjects
Details
- Language :
- English
- ISSN :
- 26453991
- Volume :
- 9
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Journal of Obstetrics, Gynecology & Cancer Research
- Publication Type :
- Academic Journal
- Accession number :
- 178611506
- Full Text :
- https://doi.org/10.30699/jogcr.9.4.471