Cystic struma ovarii presenting with ascites and an elevated CA-125 level. A case report |
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| Authors: | Bokhari Aqiba Rosenfeld Ginni S Cracchiolo Bemadette Heller Debra S |
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| Institution: | Departments of Pathology and Laboratory Medicine and of Obstetrics, Gynecology and Women's Health, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Newark, USA. |
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| Abstract: | BACKGROUND: Struma ovarii is a monodermal teratoma that usually presents as a solid pelvic mass. Occasionally the lesions are cystic. Rare cases present with ascites or pseudo-Meigs' syndrome. The association of a cystic struma ovarii with ascites and an elevated CA-125 level is exceptionally rare. CASE: A 51-year-old woman presented with ascites and a cystic pelvic mass. There was marked elevation of her CA-125 level. The clinical impression was ovarian carcinoma. Frozen section revealed a multicystic struma ovarii. CONCLUSION: Struma ovarii can mimic ovarian carcinoma clinically, particularly if cystic and associated with ascites and an elevated CA-125 level. |
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