Pa. Gehrig et al., Ovarian capillary hemangioma presenting as an adnexal mass with massive ascites and elevated CA-125, GYNECOL ONC, 76(1), 2000, pp. 130-132
Objective. Ovarian hemangiomas are very rare with the majority being cavern
ous 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 tw
o ovarian cysts. Her CA-125 was elevated to 872 U/ml. On surgical explorati
on, 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 lutein
ized cells and no evidence of malignancy. Histologically, the tumor was a c
ellular capillary hemangioma with an anastomosing vascular pattern.
Conclusions. This is the first case, reported in the literature, of an ovar
ian capillary hemangioma presenting with an elevated CA-125 and massive asc
ites. (C) 2000 Academic Press.