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Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Pelvic mass associated with raised CA 125 for benign condition: a case report | Asher et al. World Journal of Surgical Oncology 2010 8 28 http www.wjso.eom content 8 1 28 WORLD JOURNAL OF SURGICAL ONCOLOGY CASE REPORT Open Access Pelvic mass associated with raised CA 125 for benign condition a case report Viren Asher 1 Robert Hammond2 and Tim J Duncan3 Abstract Background Raised CA 125 with associated pelvic mass is highly suggestive of ovarian malignancy but there are various other benign conditions that can be associated with pelvic mass and a raised CA 125. Case presentation We present a case of 19 year old Caucasian British woman who presented initially with sudden onset right sided iliac fossa pain and on imaging was found to have 9.8 X 4.5 cm complex cystic mass in right adnexa with a raised CA 125 of 657 which was initially thought to be highly suspicious of cancer but was subsequently found to be due to pelvic inflammatory disease on histology. Conclusion This case highlights the fact that though a pelvic mass with raised CA 125 is highly suggestive of malignancy pelvic inflammatory disease should always be considered as a differential diagnosis especially in a young patient and a thorough sexual history and screening for pelvic infection should always be carried out in these patients. Background The detection of pelvic mass with an associated elevated CA 125 is highly suspicious of ovarian cancer but there are various benign conditions which mimic the above findings especially in premenopausal women. Case presentation A 19 year old nulliparous British Caucasian woman was admitted with a sudden onset of right iliac fossa pain. Urine pregnancy test was negative. This pain was sharp and stabbing in nature with no radiation. There was no associated vomiting or fever. She denied any urinary urgency frequency or dysuria and her bowels were normal. On examination there was minimal guarding and no rebound tenderness. No distension was seen and bowel sounds were heard. Transvaginal pelvic ultrasound demonstrated two small simple cysts within .
