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Ovarian cancer in a woman previously diagnosed with endometriosis and an extremely high serum CA-125 level.

PURPOSE
Follow-up of a woman with a serum CA-125 level > 1000 U/mL where laparoscopy only found endometriosis.


METHODS
Case report-- re-evaluation several years later.


RESULTS
Extensive clear-cell carcinoma of ovary with metastases leading to death.


CONCLUSION
This case suggests that bilateral oophorectomy should be performed in women not desiring any more children if the serum CA- 125 level is very high even if only endometriosis is found initially.