Re: elevated CA 125

From: Bernard Cristalli (bclaure@club-internet.fr)
Tue Jan 14 13:32:43 1997


Carlos Rubio wrote: >
> Dear listers,
>
> 29 y.o Gesta 0 LMP 26 Dec.96 Normal cycles who came to visit me for
> confirmation of a diagnosis on the 8 Jan.97
… and serum CA125 determination of 143 U/ml. Then he >
> 1, Should she have an exploratory laparoscopy on the only basis of the
> elevated CA 125?
> 2, Can be accepted to take someone to theatre, specially nuliparous
> woman, just for this finding?
> 3, Is not true that the CA125 in premenopausal women is not as specific
> as in the postmenopausal?
> 4, Would you repeat the Ca 125 in a month time and see the evolution?
> 5, Is accepted to see her anually for routine check-ups?
> 6. Is possible that the CA 125 is elevated because of the breast cystas
>

Looks like an endometriosis. 1, & 2, in that case a laparoscopy is justified if you have evidences enough. 3, non specific 4, no. what if positive again? 5, clinical check-ups 6, hardly

--
Bernard Cristalli MD CNGOF
Paris - France




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