IMR Press / CEOG / Volume 35 / Issue 3 / pii/1630638724345-2130811488

Clinical and Experimental Obstetrics & Gynecology (CEOG) is published by IMR Press from Volume 47 Issue 1 (2020). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Case Report
Successful treatment of advanced endometriosis with extremely high CA 125 and moderately elevated CA 15-3 levels
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1 Department of Obstetrics and Gynecology, and 2Department of Pathology, Kent Hospital, Izmir (Turkey)
Clin. Exp. Obstet. Gynecol. 2008, 35(3), 231–232;
Published: 10 September 2008
Abstract

We present the case of a patient with advanced endometriosis who presented with chronic pelvic pain, bilateral unruptured ovarian endometrioma, massive peritoneal implants and extremely elevated CA 125, and also elevated CA 15-3 levels. Laparoscopy revealed bilateral unruptured ovarian endometrioma and diffuse peritoneal endometriotic implants. Increased association of elevated levels of CA 125 and CA 15-3 is not so common in advanced endometriosis. The case was successfully treated with laparoscopy and combined low-dose oral contraceptive with one year of follow-up. To the best of our knowledge among the reported cases this is the highest CA 15-3 level ever reported with an extremely elevated CA 125 level.
Keywords
Endometriosis
CA 125
CA 15-3
Laparoscopy
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