title: Adenomyoma associated with high level of CA 125 and CA 19-9: case report.
abstract: OBJECTIVE
  A rare case of increasing CA 125 and CA 19-9 levels increasing in a woman with adenomyoma is described.
  
  
  METHODS
  A 39-year-old nullipara woman with CA 125 = 1,796 U/ml and CA 19-9 = 177 U/ml was submitted to abdominal and pelvic MRI, gastric endoscopy, colonoscopy, hysteroscopy, pelvic Doppler and PET scan. None of the exams revealed any apparent malignant disease.
  
  
  RESULTS
  Six months of gonadotropin releasing hormone agonist treatment reduced CA 125 and CA 19-9 levels. However, after contraceptive pill use the markers were again elevated, and a laparoscopic hysterectomy was performed, and normal CA 125 and CA 19-9 levels were achieved.
  
  
  CONCLUSIONS
  Adenomyoma may be associated with high levels of CA 125 and CA 19-9.
authors.affiliation: Hospital Nipo-Brasileiro, Sāo Paulo, Brazil. dr.heliosato@uol.com.br
authors.forename: H
authors.initials: H
authors.lastname: Sato
authors.forename: R
authors.initials: R
authors.lastname: Borsari
authors.forename: E K
authors.initials: EK
authors.lastname: Yajima
authors.forename: T
authors.initials: T
authors.lastname: Ninomiya
authors.forename: C S
authors.initials: CS
authors.lastname: Saito
authors.forename: C A K
authors.initials: CA
authors.lastname: Kumagai
mesh_terms: D018194:Adenomyoma / Q000097:blood / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D000328:Adult; D018394:CA-125 Antigen / Q000097:blood*; D018395:CA-19-9 Antigen / Q000097:blood*; D004305:Dose-Response Relationship, Drug; D005260:Female; D007987:Gonadotropin-Releasing Hormone / Q000819:agonists; D006801:Humans; D010051:Ovarian Neoplasms / Q000097:blood / Q000175:diagnosis* / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D016896:Treatment Outcome
chemical_list: D018394:CA-125 Antigen; D018395:CA-19-9 Antigen; D007987:Gonadotropin-Releasing Hormone