KMID : 0358420170600040387
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Korean Journal of Obstetrics and Gynecology 2017 Volume.60 No. 4 p.387 ~ p.390
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Significant elevation in serum CA 125 and CA 19-9 levels with torsion of the hydrosalpinx in a postmenopausal woman
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Kim Ji-Hye
Jung Hyo-Jin Song Seung-Hun
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Abstract
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Isolated torsion of the fallopian tube in postmenopausal women is rare. In this case report, we detail the case of a 53-year-old patient who presented with adenomyosis and a left hydrosalpinx with high levels of CA 125 and CA 19-9. The isolated torsion of the left hydrosalpinx was observed during the operation. The serum levels of CA 125 and CA 19-9 were reduced from 129.62 and 348 to 58.2 and 12.41 U/mL, respectively, after total laparoscopic hysterectomy with salpingectomy. On radiologic evaluation, there were no other factors that may have influenced the increase in serum levels of CA 125 and CA 19-9 in this patient, which were reduced after operation. To the best of our knowledge, this is the first case of association between perioperative changes in CA 19-9 levels and isolated torsion of the fallopian tube.
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KEYWORD
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CA 125 antigen, CA 19-9 antigen, Fallopian tubes, Isolated tubal torsion
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