Walker J L, Manetta A, Mannel R S, Liao S Y
Department of Obstetrics and Gynecology, University of California, Irvine Medical Center, Orange.
Obstet Gynecol. 1990 Sep;76(3 Pt 2):530-1.
The presence of a benign pelvic mass, ascites, and an elevated CA 125 tumor marker level may mimic the presentation of ovarian adenocarcinoma. Two cases of ovarian cellular fibromas are reported to illustrate that the presence of ascites in association with an elevated CA 125 serum level may mislead physicians into a diagnosis of ovarian carcinoma. Although CA 125 is helpful for following patients after ovarian carcinoma has been diagnosed histologically, it has limited value as a screening test. Exploratory laparotomy with excision of the pelvic mass remains the only reliable and acceptable method available to achieve an accurate diagnosis.
盆腔良性肿块、腹水以及CA 125肿瘤标志物水平升高可能会酷似卵巢腺癌的表现。本文报告两例卵巢细胞性纤维瘤，以说明腹水伴CA 125血清水平升高可能会误导医生诊断为卵巢癌。虽然CA 125有助于对经组织学诊断为卵巢癌的患者进行随访，但作为筛查试验其价值有限。剖腹探查并切除盆腔肿块仍然是获得准确诊断的唯一可靠且可接受的方法。
