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Ovarian hemangioma with elevated CA125 and ascites mimicking ovarian cancer

  • E. Erdemoglu1,*,
  • M. KamacI1
  • S. Ozen2
  • H.G. Sahin1
  • A. Kolusari1

1Department of Obstetrics and Gynecology, Turkey

2Department of pathology, Faculty of Medicine, Yiiziincii Yil University, Van , Turkey

DOI: 10.12892/ejgo200602195 Vol.27,Issue 2,March 2006 pp.195-196

Published: 10 March 2006

*Corresponding Author(s): E. Erdemoglu E-mail:

Abstract

We report a case of a very rare tumor of the ovary with an unusual presentation; an ovarian hemangioma with massive ascites and elevated CA125. A 57-year-old woman presenting with elevated CA125, massive ascites and a left solid adnexal mass of 60 x 47 mm, with calcification and increased blood flow at Doppler examination, was submitted to laparotomy. Frozen section was inconclusive and a staging procedure which complicated the patient was performed. Pathologic examination revealed cavernous hemangioma which is an extremely rare tumor of the ovary. Although it is very unusual, an ovarian hemangioma may present with ascites and elevated CA125 and the differential diagnosis from ovarian cancer should be considered.

Keywords

Ovarian hemangioma; Ascites; Elevated CA125

Cite and Share

E. Erdemoglu,M. KamacI,S. Ozen,H.G. Sahin,A. Kolusari. Ovarian hemangioma with elevated CA125 and ascites mimicking ovarian cancer. European Journal of Gynaecological Oncology. 2006. 27(2);195-196.

References

[1] Gehrig P.A., Fowler W.C. Jr., Lininger R.A.: "Ovarian capillary hemangioma presenting as an adnexal mass with massive ascites and elevated CA125". Gynecol. Oneal., 2000, 76, 130.

[2] Kaneta Y., Nishina R., Asaoka K., Toyoshima K., Ito K., Kitai H.: "Ovarian hemangioma presenting as pseudo-Meigs'syndrome with elevated CA125". J. Obstet. Gynaecol. Res., 2003, 29, 132.

[3] Gucer F., Ozyilmaz F., Balkanli-Kaplan P., Mulayim N., Aydin O.: "Ovarian hemangioma presenting with hyperandrogenism and endometrial cancer: a case report". Gynecol. Oncol., 2004, 94, 821.

[4] P anici P.B., Maggioni A., Hacker N., Landoni F., Ackermann S., Campagnutta E.: "Systematic aortic and pelvic lymphadenectomy versus resection of bulky nodes only in optimally debulked advanced ovarian cancer: a randomized clinical trial". J. Natl. Cancer Inst., 2005, 97, 560.

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