title: Benign ovarian fibroma associated with free peritoneal fluid and elevated serum CA 125 levels.
abstract: This paper reports the clinical case of a patient with ovarian neoplasia, ascites effusion, and elevated serum CA 125 levels (411 U/ml). This condition simulated a malignant pathology on the grounds of preoperative diagnostic examinations. Surgical investigation diagnosed an ovarian fibroma and ascites. Ascites was resolved rapidly and the serum CA 125 levels decreased after surgical neoplasia removal. An ovarian neoplasia associated with ascites effusion and elevated serum CA 125 levels (also in the presence of suspect ecographic and tomographic features) do not necessarily imply a malignant neoplasia.
authors.affiliation: Department of Surgery, University of Pisa.
authors.forename: C
authors.initials: C
authors.lastname: Spinelli
authors.forename: A
authors.initials: A
authors.lastname: Gadducci
authors.forename: A G
authors.initials: AG
authors.lastname: Bonadio
authors.forename: P
authors.initials: P
authors.lastname: Berti
authors.forename: P
authors.initials: P
authors.lastname: Miccoli
mesh_terms: D001201:Ascites / Q000209:etiology*; D018394:CA-125 Antigen / Q000097:blood*; D003937:Diagnosis, Differential; D005260:Female; D005350:Fibroma / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D010053:Ovary / Q000473:pathology; D014057:Tomography, X-Ray Computed
chemical_list: D018394:CA-125 Antigen