Markedly-elevated serum CA125 in a woman with pulmonary tuberculosis.
A 26-year-old Chinese woman first presented to the Singapore Anti-Tuberculosis Association with fever and cough, and was diagnosed with pulmonary tuberculosis. She was then referred to KK Women's & Children's Hospital to exclude a gynaecological pathology when she was found to have abnormally high levels of cancer antigen CA125 in a health screening done concomitantly. Pelvic examination and pelvic ultrasonography were normal. Other tumour markers (CA19-9, CEA, AFP and BHCG) were normal. The level of CA125 was monitored and returned to normal levels with anti-tuberculosis treatment. A non-gynaecological diagnosis like pulmonary tuberculosis must always be considered as one of a differential diagnosis in a woman presenting with a markedly-raised CA125.
Sulaiman
S
S
Division of Obstetrics & Gynaecology, KK Women's & Children's Hospital, Singapore.
Tan
K H
KH
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D018394:CA-125 Antigen / Q000097:blood*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D014397:Tuberculosis, Pulmonary / Q000097:blood* / Q000188:drug therapy
D000995:Antitubercular Agents; D018394:CA-125 Antigen