Eddy G L
Department of Obstetrics and Gynecology, State University of New York-Health Science Center at Syracuse, 13210, USA.
Gynecol Oncol. 1997 May;65(2):370-2. doi: 10.1006/gyno.1997.4670.
The presence of a pelvic mass in a patient with an elevated serum CA-125 suggests the possibility of a gynecologic malignancy. However, an increasing number of nonneoplastic causes of elevated serum CA-125 have been reported. This is the first report of a pelvic hematoma associated with elevated serum CA-125. Two weeks following cardiac catheterization at time of myocardial infarction a patient was noted to have a complex pelvic mass on ultrasound and serum CA-125 of 53 units per milliliter. Abdominal-pelvic CT-scan showed a small left pleural effusion, minimal ascites, left lower quadrant abdominal wall masses consistent with omental metastases, and a 9.4 x 10.3 x 9.0-cm complex left adnexal mass. At exploratory laparotomy a large organized hematoma in the left paravesical space was adherent to both the left external iliac artery and the left bladder wall. This mass could have been managed expectantly with percutaneous aspiration if a nonmalignant diagnosis had been more strongly considered.
血清CA - 125升高的患者出现盆腔肿块提示可能存在妇科恶性肿瘤。然而，越来越多血清CA - 125升高的非肿瘤性原因被报道。本文首次报告了一例与血清CA - 125升高相关的盆腔血肿。一名患者在心肌梗死时进行心脏导管插入术后两周，超声检查发现有一个复杂的盆腔肿块，血清CA - 125为每毫升53单位。腹盆腔CT扫描显示左侧少量胸腔积液、少量腹水、左下腹腹壁肿块符合网膜转移，以及一个9.4×10.3×9.0厘米的左侧附件复杂肿块。在剖腹探查术中，左膀胱旁间隙有一个大的机化血肿，与左髂外动脉和左膀胱壁粘连。如果更强烈地考虑非恶性诊断，这个肿块本可以通过经皮抽吸进行保守处理。
