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A case of ovarian sarcoidosis mimicking malignancy

  • K. Karmaniolas1,*,
  • S. Liatis1
  • M. Dalamaga1
  • G. Mourouti2
  • A. Digeni3
  • I. Migdalis1

1Department of Internal Medicine, Greece

2Department of Pathology, Greece

3Department of Gynaecology, NIMTS Hospital, Athens, Greece

DOI: 10.12892/ejgo200502231 Vol.26,Issue 2,March 2005 pp.231-232

Published: 10 March 2005

*Corresponding Author(s): K. Karmaniolas E-mail:

Abstract

We present a case of systemic sarcoidosis with ovarian and peritoneal involvement. The atypical clinical presentation of the disease has lead to a problem of the differential diagnosis with ovarian cancer. A 72-year-old female was admitted because of low grade fever, fatigue and dilatation of the abdomen. Clinical and laboratory evaluation of the patient revealed moderate right pleural effusion, ascites, diffuse ovarian infiltration, presence of enlarged intraabdominal lymph nodes and a substantially high value of serum CA 125. Histological examination after laparotomy was indicative of ovarian sarcoidosis.

Keywords

Ovarian sarcoidosis; Peritoneal sarcoidosis; CA-125, Ovarian cancer

Cite and Share

K. Karmaniolas,S. Liatis,M. Dalamaga,G. Mourouti,A. Digeni,I. Migdalis. A case of ovarian sarcoidosis mimicking malignancy. European Journal of Gynaecological Oncology. 2005. 26(2);231-232.

References

[1] Costabel U., Hunninghake G.W.: "ATS/ERS/WASOG Statement on sarcoidosis". Eur. Respir. J., 1999, 14, 735.

[2] Rosenfeld S.l., Steck W., Breen J.L.: "Sarcoidosis of the female genital tract: case presentation and survey of the world literature". Int. J. Gyneco/. Ohstet., 1989, 28, 373.

[3] Chalvardjian A.: "Sarcoidosis of the female genital tract". Am. J Ohstet. Gynecol., 1978, 1, 132, 78

[4] Bast R.C. Jr., Xu F.J., Yu Y.H. et al.: "CA-125: the past and the future". Int. J. Biol. Markers, I 998, 13, 179.

[5] Meden H., Fattahi-Meibodi A.: "CA-125 in benign gynecological conditions". Int. J. Biol. Markers, I 998, 13, 231.

[6] O'Riordan D.K., Deery A., Dorman A. et al.: "Increased CA-125 in a patient with tuberculous peritonitis: case report and review of published works". Gut, 1995, 36, 303.

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