• Sao Paulo Med J · Mar 2008

    Case Reports

    Sclerosing peritonitis associated with luteinized thecoma and elevated serum CA 125 levels: case report.

    • Sabas Carlos Vieira, Lina Gomes Dos Santos, Felipe José da Silva Melo Cruz, Wildson Moura Gonçalves, and Sheila de Farias Viana Castelo Branco Rocha.
    • Hospital São Marcos, Teresina, Piauí, Brazil. sabasvieira@uol.com.br
    • Sao Paulo Med J. 2008 Mar 6; 126 (2): 123125123-5.

    ContextThecomas are benign tumors that account for less than 1% of all ovarian neoplasms. The association of ovarian thecoma with sclerosing peritonitis is rare.Case ReportWe report the case of a 33-year-old woman, with a two-month history of increasing abdominal volume. Ultrasound showed a complex pelvic lesion and laboratory analysis detected elevated serum CA 125 levels. The patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy and peritoneal biopsy. Histopathological analysis revealed the presence of luteinized thecoma of both ovaries associated with sclerosing peritonitis.

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