Ovarian capillary hemangioma presenting as an adnexal mass with massive ascites and elevated CA-125.
OBJECTIVE
Ovarian hemangiomas are very rare with the majority being cavernous hemangiomas. We report a case of a capillary ovarian hemangioma.


METHODS
A case report of a woman with a capillary ovarian hemangioma with massive ascites and an elevated CA-125 is presented.


RESULTS
A 39-year-old woman presented with an enlarged ovary containing two ovarian cysts. Her CA-125 was elevated to 872 U/ml. On surgical exploration, she had 1500 cc of clear yellow ascitic fluid and a 7.9 x 6.5 x 4.5 cm left ovarian mass. Frozen section revealed marked stromal edema with luteinized cells and no evidence of malignancy. Histologically, the tumor was a cellular capillary hemangioma with an anastomosing vascular pattern.


CONCLUSIONS
This is the first case, reported in the literature, of an ovarian capillary hemangioma presenting with an elevated CA-125 and massive ascites.
Gehrig
P A
PA
Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, 27599, USA.
Fowler
W C
WC
Lininger
R A
RA
D000291:Adnexal Diseases / Q000175:diagnosis / Q000473:pathology*; D000328:Adult; D001201:Ascites / Q000209:etiology / Q000473:pathology; D018394:CA-125 Antigen / Q000032:analysis*; D003937:Diagnosis, Differential; D005260:Female; D006391:Hemangioma / Q000175:diagnosis / Q000276:immunology / Q000473:pathology*; D006801:Humans; D010051:Ovarian Neoplasms / Q000175:diagnosis / Q000276:immunology / Q000473:pathology*
D018394:CA-125 Antigen