Benjapibal Mongkol, Sangkarat Suthi, Laiwejpithaya Somsak, Viriyapak Boonlert, Chaopotong Pattama, Jaishuen Atthapon
Department of Obstetrics and Gynecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Case Rep Oncol. 2009 Apr 4;2(1):61-66. doi: 10.1159/000210441.
An elevated serum CA125 level in association with a pelvic mass, pleural effusion, and massive ascites usually signifies a dismal prognosis in a postmenopausal woman. However, surgery and histopathological examination are required for the correct diagnosis and treatment, since an elevated CA125 level can be falsely positive for ovarian malignancy. We present a case of Meigs' syndrome due to right ovarian fibroma with elevated CA125 level in a postmenopausal woman.
血清CA125水平升高伴盆腔肿块、胸腔积液和大量腹水,通常预示绝经后女性预后不佳。然而,由于CA125水平升高对卵巢恶性肿瘤可能出现假阳性结果,因此正确的诊断和治疗需要手术及组织病理学检查。我们报告一例绝经后女性因右侧卵巢纤维瘤导致梅格斯综合征且CA125水平升高的病例。