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Cite this article
Adenomyoma associated with high level of CA 125 and CA 19-9: case report
1 Hospital Nipo-Brasileiro; 2Universidade Federal de São Paulo (Brazil)
Eur. J. Gynaecol. Oncol. 2011, 32(4), 455–456;
Published: 10 August 2011
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.
CA 125 antigen