title: Liver endometriosis presenting as a liver mass associated with high blood levels of tumoral biomarkers.
abstract: Endometriosis is a dissemination of endometrial-like tissue outside the uterine cavity, responsible for pain and impaired fertility in women of childbearing age. Although endometriosis generally occurs in the pelvis, it can be located further away. We describe the case of a 35-year-old woman who was admitted for further evaluation of a cystic mass of the liver that had invaded the right ventricle and caused pain. Serum levels of the tumor markers CA 125, CA 15-3 and CA 19-9 were elevated. The tumor was resected with a small part of the right ventricle free wall, the diaphragm and the left liver lobe. A histological analysis confirmed that the mass was a benign endometrial cyst. The postoperative course was uneventful and the patient remains asymptomatic with 5 year follow-up. A diagnosis of endometriosis should be considered for thoraco-abdominal cystic masses associated with menses-related pain in women of childbearing age.
authors.affiliation: Service de chirurgie digestive et transplantations, hôpital Claude-Huriez, CHU, université Nord-de-France, 59000 Lille, France. afouadbouras@gmail.com
authors.forename: Ahmed Fouad
authors.initials: AF
authors.lastname: Bouras
authors.forename: André
authors.initials: A
authors.lastname: Vincentelli
authors.forename: Emmanuel
authors.initials: E
authors.lastname: Boleslawski
authors.forename: Stéphanie
authors.initials: S
authors.lastname: Truant
authors.forename: Guido
authors.initials: G
authors.lastname: Liddo
authors.forename: Alain
authors.initials: A
authors.lastname: Prat
authors.forename: François-René
authors.initials: FR
authors.lastname: Pruvot
authors.forename: Philippe
authors.initials: P
authors.lastname: Zerbib
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D014408:Biomarkers, Tumor / Q000097:blood*; D018394:CA-125 Antigen / Q000097:blood; D018395:CA-19-9 Antigen / Q000097:blood; D003964:Diaphragm / Q000601:surgery; D004715:Endometriosis / Q000097:blood / Q000175:diagnosis* / Q000601:surgery; D005260:Female; D006331:Heart Diseases / Q000097:blood / Q000601:surgery; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D008107:Liver Diseases / Q000097:blood / Q000175:diagnosis* / Q000601:surgery; D018396:Mucin-1 / Q000097:blood
chemical_list: D014408:Biomarkers, Tumor; D018394:CA-125 Antigen; D018395:CA-19-9 Antigen; D018396:Mucin-1