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Obstetrics & Gynecology 1989;73:520-521
© 1989 by The American College of Obstetricians and Gynecologists
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MEIGS SYNDROME AND ELEVATED CA125

Oliver W. Jones, III, MD and Earl A. Surwit, MD

From the Department of Obstetrics and Gynecology, University Medical Center, Tucson, Arizona

Abstract

A patient presented with a pelvic mass, ascites, and pleural effusion. The serum CA 125 level was noted to be 226 U/mL (normal 5-35 U/mL). On surgical exploration, she had a benign fibroma-thecoma without malignant cytology in the ascitic fluid. Postoperatively, the pleural effusion resolved and the CA 125 decreased to 32 U/mL. This is the first reported case of Meigs syndrome and an elevated CA 125 level. As previously documented, elevated serum CA 125 does not always indicate malignancy. (Obstet Gynecol 73:520, 1989)







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