Ovarian fibroma with marked ascites and elevated serum levels of CA-125 in a young girl

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• 作者：Akihide Sugiyama^a ; ^{akihide@mte.biglobe.ne.jp"" rel=""nofollow} ; Naoto Urushihara^a ; Koji Fukumoto^a ; Hiroaki Fukuzawa^a ; Hideki Nagae^a ; Kentaro Watanabe^a ; Maki Mitsunaga^a ; Shiro Hasegawa^a ; Masashi Koyama^b
• 关键词：Fibroma ; Ascites ; CA-125 ; Children
• 刊名：Journal of Pediatric Surgery
• 出版年：2011
• 出版时间：May 2011
• 年：2011
• 卷：46
• 期：5
• 页码：1001-1004
• 全文大小：316 K

文摘

We report a case of ovarian fibroma with marked ascites and elevated serum CA-125 levels in a young girl. Ovarian fibromas are rare in children. They usually present as a solid mass and may be associated with ascites and elevated serum CA-125 levels. Because of their solid nature and these associations, they can be mistaken for a malignant tumor, resulting in unnecessary oophorectomy. Ovarian fibromas are benign neoplasms, and the prognosis is extremely good. Surgical management should be an ovarian-sparing tumor excision. Although uncommon in pediatric patients, ovarian fibromas should be included in the differential diagnosis of ovarian mass in children.