title: Malignant transformation of endometrioma in a woman with a history of ovulation induction and in vitro fertilization.
abstract: Our aim is to document a case of endometrioid adenocarcinoma of the ovary found in an endometriotic cyst that was suspected on pelvic ultrasound in a patient with polycystic ovary syndrome, normal Ca125, and a recent history of ovulation induction for IVF. She underwent an exploratory laparotomy with left salpingo-oophorectomy and omental biopsies followed by reexploration, complete staging, and modified radical abdominal hysterectomy and right salpingo-oophorectomy. An endometrioma described as suspicious for malignancy by an experienced ultrasound examiner should prompt immediate referral to a gynecological oncologist irrespective of Ca125 levels especially in women with a history of ovulation induction and endometriosis.
authors.affiliation: School of Medicine, Wayne State University, 60 West Hancock Street, Detroit, MI 48201, USA.
authors.forename: Terri L
authors.initials: TL
authors.lastname: Woodard
authors.forename: Awoniyi O
authors.initials: AO
authors.lastname: Awonuga
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Puscheck