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Adenomyoma associated with high level of CA 125 and CA 19-9: case report
H Sato1, R Borsari, E K Yajima
1Hospital Nipo-Brasileiro, Sāo Paulo, Brazil. dr.heliosato@uol.com.br
Purpose Of Investigation:
A rare case of increasing CA 125 and CA 19-9 levels increasing in a woman with adenomyoma is described.
Methods:
A 39-year-old nullipara woman with CA 125 = 1,796 U/ml and CA 19-9 = 177 U/ml was submitted to abdominal and pelvic MRI, gastric endoscopy, colonoscopy, hysteroscopy, pelvic Doppler and PET scan. None of the exams revealed any apparent malignant disease.
Results:
Six months of gonadotropin releasing hormone agonist treatment reduced CA 125 and CA 19-9 levels. However, after contraceptive pill use the markers were again elevated, and a laparoscopic hysterectomy was performed, and normal CA 125 and CA 19-9 levels were achieved.
Conclusions:
Adenomyoma may be associated with high levels of CA 125 and CA 19-9.