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  • Title: Adnexal fascioliasis masquerading as ovarian cancer.
    Author: Yazici G, Dilek UT, Karabacak T, Ertunc D, Korkmaz M, Dilek S.
    Journal: Gynecol Oncol; 2005 Oct; 99(1):236-8. PubMed ID: 16051339.
    Abstract:
    BACKGROUND: Preoperative diagnosis of ovarian cancer is still problematic as multiple disease processes may present with pelvic mass. Fascioliasis is a parasitic disease producing unique clinical manifestations. CASE REPORT: A 49-year-old female patient admitted to our hospital with the complaint of occasional abdominal pain. Pelvic examination revealed a right adnexal mass. Serum CA-125 level was elevated. Explorative laparotomy was performed with the initial diagnosis of ovarian tumor. Final diagnosis was adnexal fascioliasis. CONCLUSION: In the setting of a newly diagnosed pelvic mass, care should be taken when interpreting an elevated CA-125 level. While ovarian cancer is high on the list of differential diagnoses, atypical clinical presentation of fasciola may give rise to a misdiagnosis of malignancy.
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