Uterine adenomyotic cyst with markedly elevated serum CA19‑9 and CA125 levels: A case report

Zheng,Lihua; Shan,Li; Cai,Fengfeng

doi:10.3892/etm.2022.11601

Uterine adenomyotic cyst with markedly elevated serum CA19‑9 and CA125 levels: A case report

Authors:
- Lihua Zheng
- Li Shan
- Fengfeng Cai
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Affiliations: Department of Gynecology and Obstetrics, Northwest Women's and Children's Hospital, Xi'an, Shaanxi 710012, P.R. China, Department of Breast Surgery, Yangpu Hospital, School of Medicine, Tongji University, Shanghai 200090, P.R. China
Published online on: September 7, 2022 https://doi.org/10.3892/etm.2022.11601
Article Number: 665
Copyright: © Zheng et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Adenomyotic cysts are small cysts with a diameter of <5 mm, usually containing hemorrhagic material. The present study reported on a patient with a large adenomyotic cyst with abnormally high serum levels of CA19‑9 (>1,000 U/ml) and CA125 (642 U/ml) and a complaint of pelvic pain. MRI scans were critical in diagnosing the case. Adhering to the principle of tumor‑free implantation, a laparotomy was performed. After the operation, six weeks were required to normalize the serum level of CA19‑9 and four weeks for CA125. Elevated tumor markers are frequently observed in malignancies, but the outcome reported in the present case was a benign lesion and the prognosis was favorable. In the present case, it was unusual that CA19‑9 was elevated in addition to CA125, as it is commonly reported that only CA125 is elevated in cases of large adenomyotic cyst.

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