Falsely Elevated CA 15-3 Levels in Ovarian Sarcoidosis with Peritoneal Involvement and Ascites

Author:

Tsiodras Sotirios1,Gouloumi Alina-Roxani2,Tsakiraki Zoi2,Chrelias George3ORCID,Chrelias Charalambos3,Loukides Stylianos4ORCID,Panayiotides Ioannis2

Affiliation:

1. 4th Department of Internal Medicine, University of Athens Medical School, “Attikon” University Hospital, Athens, Greece

2. 2nd Department of Pathology, University of Athens Medical School, “Attikon” University Hospital, Athens, Greece

3. 3rd Department of Obstetrics and Gynecology, University of Athens Medical School, “Attikon” University Hospital, Athens, Greece

4. 2nd Department of Pulmonary Medicine, University of Athens Medical School, “Attikon” University Hospital, Athens, Greece

Abstract

A rare case of ovarian sarcoidosis with peritoneal and omental involvement presenting as an ovarian malignancy is presented. Clinical, laboratory, and radiological evaluation of the patient revealed ascites and high levels of serum CA 125 and CA 15.3. The diagnosis of sarcoidosis was confirmed with pathology findings on tissues obtained during surgical laparotomy. Establishing the diagnosis of sarcoidosis can be treacherous and was complicated in this case by the falsely elevated biomarkers and ascites.

Publisher

Hindawi Limited

Subject

Obstetrics and Gynaecology

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