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  • Title: Endometriosis mimicking advanced ovarian cancer.
    Author: Goumenou A, Matalliotakis I, Mahutte N, Koumantakis E.
    Journal: Fertil Steril; 2006 Jul; 86(1):219.e23-5. PubMed ID: 16818037.
    Abstract:
    OBJECTIVE: To report a case of endometriosis associated with massive ascites, pleural effusion, and extremely elevated Ca-125. DESIGN: Case report. SETTING: University hospital. PATIENT(S): A 46-year-old, white nulligravida with bilateral adnexal masses, Ca-125 of 3,504 U/mL, abdominal pain, ascites, and a pleural effusion. INTERVENTION(S): Chemotherapy followed by exploratory laparotomy for suspected ovarian cancer. MAIN OUTCOME MEASURE(S): Surgical findings and histopathology. RESULT(S): Intraoperative examination and histology ruled out malignancy but found stage IV endometriosis. CONCLUSION(S): In rare instances advanced endometriosis may be associated with ascites, pleural effusions, and large pelvic masses. For this reason endometriosis should be included in the differential diagnosis of reproductive-age women presenting with apparent ovarian malignancy.
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