Benign gynecologic conditions associated with a CA-125 Level >1,000 U/mL: A case report

Dorothy N. Kammerer-Doak, Javier E. Magrina, Jay S. Nemiro, Thomas K. Lidner

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

Abstract

BACKGROUND: CA-125 was initially investigated as a marker of ovarian cancer. However, various studies have noted that it can be minimally elevated in benign conditions. CASE: A case of CA-125 > 1,000 U/mL was associated with benign gynecologic conditions. A 37-year-old woman with a history of endometriosis and premature ovarian failure underwent hormonal therapy for donor in vitro fertilization. After an unsuccessful cycle, severe dysmenorrhea developed. Investigation revealed a CA-125 level of 1,036 U/mL and a uterine mass. On exploratory laparotomy, cystic adenomyosis and uterine endometriosis were found. After excision of these areas, the CA-125 levels returned to normal. In this case, cystic adenomyosis and endometriosis of the uterine serosa were responsible for the elevated CA-125 level. CONCLUSION: Very high levels of CA-125 are not always associated with a malignant process.

Original languageEnglish (US)
Pages (from-to)179-182
Number of pages4
JournalJournal of Reproductive Medicine for the Obstetrician and Gynecologist
Volume41
Issue number3
StatePublished - Dec 1 1996

Keywords

  • Adenomyosis
  • CA-125 antigen
  • Endometriosis

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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