Ovarian capillary hemangioma presenting as an adnexal mass with massive ascites and elevated CA-125

Gynecol Oncol. 2000 Jan;76(1):130-2. doi: 10.1006/gyno.1999.5648.

Abstract

Objective: Ovarian hemangiomas are very rare with the majority being cavernous hemangiomas. We report a case of a capillary ovarian hemangioma.

Methods: A case report of a woman with a capillary ovarian hemangioma with massive ascites and an elevated CA-125 is presented.

Results: A 39-year-old woman presented with an enlarged ovary containing two ovarian cysts. Her CA-125 was elevated to 872 U/ml. On surgical exploration, she had 1500 cc of clear yellow ascitic fluid and a 7.9 x 6.5 x 4.5 cm left ovarian mass. Frozen section revealed marked stromal edema with luteinized cells and no evidence of malignancy. Histologically, the tumor was a cellular capillary hemangioma with an anastomosing vascular pattern.

Conclusions: This is the first case, reported in the literature, of an ovarian capillary hemangioma presenting with an elevated CA-125 and massive ascites.

Publication types

  • Case Reports

MeSH terms

  • Adnexal Diseases / diagnosis
  • Adnexal Diseases / pathology*
  • Adult
  • Ascites / etiology
  • Ascites / pathology
  • CA-125 Antigen / analysis*
  • Diagnosis, Differential
  • Female
  • Hemangioma / diagnosis
  • Hemangioma / immunology
  • Hemangioma / pathology*
  • Humans
  • Ovarian Neoplasms / diagnosis
  • Ovarian Neoplasms / immunology
  • Ovarian Neoplasms / pathology*

Substances

  • CA-125 Antigen