Stavros Diavatis, Alexis Papanikolaou
(Department of Obstetrics and Gynecology, Papageorgiou General Hospital, Thessaloniki, Greece)
Am J Case Rep 2016; 17:459-461
Struma ovarii is a rare ovarian teratoma with non-specific clinical presentation that can mimic malignancy, especially when combined with the presence of ascites. Since the surgical procedures performed for benign and malignant tumors are quite different, pre-operative differential diagnosis is key. In this case report we compare the levels of biomarkers CA 125 and HE4 in the differential diagnosis of a suspicious ovarian tumor.
CASE REPORT: A 75-year-old woman with a palpable mass at the left adnexa, ascites, and high levels of CA 125, underwent a subtotal abdominal hysterectomy and bilateral salpingo-oophorectomy. Histology reported benign struma ovarii.
CONCLUSIONS: Even though transvaginal ultrasound and CA 125 levels suggested malignancy, HE4 measurements correctly diagnosed benignity.
Keywords: Biomarkers, Tumor - blood, Aged, CA-125 Antigen - blood, Diagnosis, Differential, Endosonography - methods, Female, Follow-Up Studies, Humans, Hysterectomy - methods, Laparoscopy, Magnetic Resonance Imaging, Ovarian Neoplasms - surgery, Proteins - metabolism, Struma Ovarii - surgery, Tomography, X-Ray Computed, Vagina