Department of Obstetrics and Gynecology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran
Department of pathology, faculty of medicine, Urmia university of medical sciences, Urmia, Iran
Department of radiology, School of Medicine, Urmia University of Medical Sciences, Urmia, Iran.
4. Department of Midwifery, School of Medicine, North Khorasan University of Medical Sciences, Bojnurd, Iran
Background: ovarian mature cystic teratomas (OMCTS) is one of the most common benign ovarian tumors. Most of MCTs can be diagnosed at ultrasonography (us). Due to heterogeneous composition and a variety of appearance, in some non-diagnostic imaging reports it is suggested that we evaluate some tumor markers (CA125 and CA19-9) to complement imaging modalities. According to previous investigation a single elevated CA 19-9 is in association of specific radio-pathologic features, such as size, torsion, bronchial glands, fat and teeth components. Here we are presenting three various cases of OMCT with different characteristics.
Case Presentation: case 1: asymptomatic, non-diagnose US, single- elevated CA19-9, smaller than in 10 cm with bronchial glands and fat component. Case 2: symptomatic, non-diagnostic US , normal CA19-9, larger than 10 cm with torsion and necrosis. Case 3: symptomatic, diagnostic US, single- elevated CA19-9, smaller than 10 cm, full of hair and Sebaceous material. Computer tomography (CT), in all of our cases was diagnostic based on OMCT. Apologia of pathologic pathway of elevated CA19-9 in both case 1 and 3 was in agreement with the result of previous investigations. In case 2, despite of large size and torsion, CA 19-9 level was low.
Conclusion: single- elevated CA 19-9 level in OMCTs could impact benign characteristics of this kind of tumor.
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