ArticlePrzeglad menopauzalny = Menopause review2021
An enormous pelvic tumor in a 46-year-old woman with an elevated serum CA 125 level, what lies beneath it? Investigation of uterine tumors in postmenopausal women.
Article in Przeglad menopauzalny = Menopause review, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 15 citations in OpenAlex.
- A Rare Presentation of Benign Prostatic Hyperplasia With Pure Stromal Hyperplasia as a Large Isolated Pelvic Mass With Normal Prostate Imaging.International journal of surgical pathology · 2026Article
- Analysis of ovarian cancer burden among reproductive-aged women and its association with the socio-demographic index from 1990 to 2021.World journal of surgical oncology · 2026Article
- Simultaneous embolisation of uterine arteries and ovarian veins as a management for chronic pelvic pain due to pelvic venous disorders and adenomyosis.Przeglad menopauzalny = Menopause review · 2026Article
- Potential function of miRNA as a diagnostic biomarker for human ovarian cancer.Discover oncology · 2025Review
- Article
- Survival and prognostic factors among different types of liposarcomas based on SEER database.Scientific reports · 2025Article
- A giant degenerative uterine leiomyoma mimicking an ovarian neoplasm: Case report.SAGE open medical case reports · 2025Article
- Small bowel obstruction secondary to uterine fibroids: a case presentation.Przeglad menopauzalny = Menopause review · 2024Article
- Extraosseous Plasmacytomas: A Radiologist's Perspective-A Narrative Review of the Literature.Diagnostics (Basel, Switzerland) · 2024Review
- Clinical aspects and therapeutic strategy in a case of urinary bladder endocervicosis.Przeglad menopauzalny = Menopause review · 2024Article
- Follicular Thyroid Carcinoma Arising from the Struma Ovarii Coexisting with Papillary Thyroid Carcinoma, Hashimoto's Thyroiditis and Polycystic Ovarian Syndrome-a Case Report and Literature Review.International journal of women's health · 2024Article
- Multiple benign metastasizing leiomyoma in the abdominal wall: a case report and literature review.Frontiers in oncology · 2024Article
- A rare case of squamous cell carcinoma associated with a huge ovarian dermoid cyst in a postmenopausal woman.Przeglad menopauzalny = Menopause review · 2023Article
- Article
- Anatomic Distribution of Benign Ovarian Tumors in Perimenopausal and Postmenopausal Women.Cureus · 2023Article
- Gastric-type Mucinous Carcinoma with an Abnormal Increase of CA199: A Case Report and Literature Review.Frontiers in surgery · 2022Article
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Abdominal and pelvic pain with an associated pelvic mass is a very common emergency situation. There is always a management dilemma for most emergency physicians regarding these patients. A 46-year-old postmenopausal woman was admitted to our emergency department (ED) with complaints of massive abdominal distention. Abdominal and pelvis magnetic resonance imaging (MRI) was performed, which revealed a huge pelvic abdominal mass. All tumor markers were within normal limits. However, the ovarian cancer antigen (CA 125) level was elevated. As there was a strong suspicion of malignancy, the patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy. Her final histopathology report was suggestive of uterine leiomyoma. Uterine leiomyomas are the most common benign uterine tumors in women. Surgical treatment is the gold standard, especially for older women with severe symptoms and no desire for future fertility. Although the combination of a pelvic tumor and a high-level of CA 125 arouses suspicion of gynecological malignancy, other benign conditions should always be considered in the differential diagnosis. There is limited evidence to support an association between elevated CA 125 levels and uterine fibroids so far. However, conditions such as the coexistence of adenomyosis and tumor size can affect the level of this marker in uterine fibroids.
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