title: Highly elevated CA125 and tubo-ovarian abscess mimicking ovarian carcinoma.
abstract: Elevated serum CA125 levels may be caused by any condition which produces peritoneal irritation as well as by the presence of various malignancies. This report of a case with atypical presentation of tubo-ovarian abscess and CA125 level of 1,160 U/ml serves to re-emphasize cautious operative planning in patients desirous of reproductive capability in the face of findings highly consistent with probable malignancy. This is the highest reported serum CA125 level in a reproductive age woman with well-documented reversible benign disease.
authors.affiliation: National Naval Medical Center, Department of Obstetrics and Gynecology, Bethesda Naval Hospital, Bethesda, Md.
authors.forename: C I
authors.initials: CI
authors.lastname: Macri
authors.forename: S A
authors.initials: SA
authors.lastname: Vasilev
mesh_terms: D000038:Abscess / Q000097:blood / Q000276:immunology*; D000328:Adult; D015295:Antigens, Tumor-Associated, Carbohydrate / Q000097:blood*; D002277:Carcinoma / Q000276:immunology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D010049:Ovarian Diseases / Q000097:blood / Q000276:immunology*; D010051:Ovarian Neoplasms / Q000276:immunology; D013203:Staphylococcal Infections / Q000097:blood / Q000276:immunology*
chemical_list: D015295:Antigens, Tumor-Associated, Carbohydrate