title: Highly elevated serum CA 125 levels in a patient with cardiac failure.
abstract: Presented is a case story of a patient with highly elevated serum levels of the tumour marker CA 125 (Cancer Antigen 125). The patient was thought to have ovarian cancer, but eventually the source of the elevated serum CA 125 levels became clear: cardiac failure caused by thyrotoxicosis. Benign and malignant causes of elevated serum levels of CA 125 are described briefly.
authors.affiliation: Department of Gynecologic Oncology, The Netherlands Cancer Institute, Amsterdam.
authors.forename: E H
authors.initials: EH
authors.lastname: Hopman
authors.forename: T J
authors.initials: TJ
authors.lastname: Helmerhorst
authors.forename: J M
authors.initials: JM
authors.lastname: Bonfrer
authors.forename: W W
authors.initials: WW
authors.lastname: Ten Bokkel Huinink
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015295:Antigens, Tumor-Associated, Carbohydrate / Q000097:blood*; D001201:Ascites / Q000276:immunology; D002303:Cardiac Output, Low / Q000175:diagnosis* / Q000209:etiology / Q000276:immunology / Q000628:therapy; D003029:Coagulants / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004039:Diet, Sodium-Restricted; D004077:Digoxin / Q000627:therapeutic use; D004232:Diuretics / Q000627:therapeutic use; D005260:Female; D006801:Humans; D013971:Thyrotoxicosis / Q000150:complications / Q000175:diagnosis*; D013972:Thyrotropin / Q000097:blood; D013974:Thyroxine / Q000097:blood
chemical_list: D015295:Antigens, Tumor-Associated, Carbohydrate; D003029:Coagulants; D004232:Diuretics; D004077:Digoxin; D013972:Thyrotropin; D013974:Thyroxine