Highly elevated CA125 and tubo-ovarian abscess mimicking ovarian carcinoma

Gynecol Obstet Invest. 1994;37(2):143-4. doi: 10.1159/000292544.


Elevated serum CA125 levels may be caused by any condition which produces peritoneal irritation as well as by the presence of various malignancies. This report of a case with atypical presentation of tubo-ovarian abscess and CA125 level of 1,160 U/ml serves to re-emphasize cautious operative planning in patients desirous of reproductive capability in the face of findings highly consistent with probable malignancy. This is the highest reported serum CA125 level in a reproductive age woman with well-documented reversible benign disease.

Publication types

  • Case Reports

MeSH terms

  • Abscess / blood
  • Abscess / immunology*
  • Adult
  • Antigens, Tumor-Associated, Carbohydrate / blood*
  • Carcinoma / immunology
  • Diagnosis, Differential
  • Female
  • Humans
  • Ovarian Diseases / blood
  • Ovarian Diseases / immunology*
  • Ovarian Neoplasms / immunology
  • Staphylococcal Infections / blood
  • Staphylococcal Infections / immunology*


  • Antigens, Tumor-Associated, Carbohydrate