Ovarian Cancer Research Today is a free monthly online journal that collates and summarizes the latest research about Ovarian Cancer, including details on symptoms, causes, treatment, information.

Adnexal fascioliasis masquerading as ovarian cancer.

Yazici G, Dilek UT, Karabacak T, Ertunc D, Korkmaz M, Dilek S

Department of Obstetrics and Gynecology, School of Medicine, Mersin University, Liparis Plaza, Orkide Blok, Kat: 5, Daire:12, 33170 Mezitli, Mersin, Turkey. gyazici70@yahoo.com

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.

Published 26 September 2005 in Gynecol Oncol, 99(1): 236-8.
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