Transvaginal color Doppler sonography and CA-125 elevation in a patient with ovarian thecoma and ascites.
A postmenopausal patient presented with a pelvic mass and ascites. The CA-125 level was 329 U/ml, and transvaginal color Doppler sonography of the tumor vasculature suggested malignancy. At laparotomy, a luteinized thecoma and cytologically benign ascites were found. On rare occasions ovarian thecoma may be associated with ascites without hydrothorax. Preoperative evaluation of the patient with ascites and a pelvic mass may suggest malignancy, but histologic confirmation is necessary to exclude this rare association.
Williams
L L
LL
Department of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, Tennessee 37232.
Fleischer
A C
AC
Jones
H W
HW
D000368:Aged; D015295:Antigens, Tumor-Associated, Carbohydrate / Q000097:blood*; D001201:Ascites / Q000209:etiology*; D005260:Female; D006801:Humans; D010051:Ovarian Neoplasms / Q000097:blood / Q000150:complications / Q000000981:diagnostic imaging*; D013798:Thecoma / Q000097:blood / Q000150:complications / Q000000981:diagnostic imaging*; D014463:Ultrasonography / Q000379:methods
D015295:Antigens, Tumor-Associated, Carbohydrate