title: Ovarian cancer in a woman previously diagnosed with endometriosis and an extremely high serum CA-125 level.
abstract: OBJECTIVE
  Follow-up of a woman with a serum CA-125 level > 1000 U/mL where laparoscopy only found endometriosis.
  
  
  METHODS
  Case report-- re-evaluation several years later.
  
  
  RESULTS
  Extensive clear-cell carcinoma of ovary with metastases leading to death.
  
  
  CONCLUSIONS
  This case suggests that bilateral oophorectomy should be performed in women not desiring any more children if the serum CA- 125 level is very high even if only endometriosis is found initially.
authors.affiliation: The University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School at Camden, Copper Hospital/University Medical Center, Department of Obstetrics and Gynecology, USA.
authors.forename: J H
authors.initials: JH
authors.lastname: Check
authors.forename: M L
authors.initials: ML
authors.lastname: Check
authors.forename: D
authors.initials: D
authors.lastname: Kiefer
authors.forename: J
authors.initials: J
authors.lastname: Aikins
mesh_terms: D018262:Adenocarcinoma, Clear Cell / Q000097:blood / Q000150:complications* / Q000601:surgery; D000328:Adult; D018394:CA-125 Antigen / Q000097:blood*; D004715:Endometriosis / Q000097:blood / Q000150:complications* / Q000628:therapy; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D010051:Ovarian Neoplasms / Q000097:blood / Q000150:complications* / Q000601:surgery
chemical_list: D018394:CA-125 Antigen