Cystic struma ovarii presenting with ascites and an elevated CA-125 level: A case report

Aqiba Bokhari, Ginni S. Rosenfeld, Bemadette Cracchiolo, Debra S. Heller

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

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 CA125 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.

Original languageEnglish (US)
Pages (from-to)52-56
Number of pages5
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume48
Issue number1
StatePublished - Jan 1 2003

All Science Journal Classification (ASJC) codes

  • Reproductive Medicine
  • Obstetrics and Gynecology

Keywords

  • Ascites
  • CA-125 antigen
  • Meigs' syndrome
  • Struma ovarii

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