Sclerosing peritonitis associated with luteinized thecoma and elevated serum CA 125 levels

case report

Authors

  • Sabas Carlos Vieira Hospital São Marcos
  • Lina Gomes dos Santos Hospital São Marcos
  • Felipe José da Silva Melo Cruz Hospital São Marcos
  • Wildson Moura Gonçalves Hospital São Marcos
  • Sheila de Farias Viana Castelo Branco Rocha Hospital São Marcos

Keywords:

Thecoma, Peritonitis, Ovarian neoplasms, CA-125 antigen, Germinoma

Abstract

CONTEXT: Thecomas are benign tumors that account for less than 1% of all ovarian neoplasms. The association of ovarian thecoma with sclerosing peritonitis is rare. CASE REPORT: We report the case of a 33-yearold 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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Author Biographies

Sabas Carlos Vieira, Hospital São Marcos

MD, MSc. Doctoral student in the Medical Sciences program at Universidade Estadual de Campinas (Unicamp), Campinas, São Paulo. Professor in the Discipline of Oncology, Universidade Federal do Piauí, and oncologist at Hospital São Marcos, Teresina, Piauí, Brazil.

Lina Gomes dos Santos, Hospital São Marcos

MD. Master’s student in the Sciences and Health program at Universidade Federal do Piauí; professor in the Discipline of Pathology, Universidade Federal do Piauí, and pathologist at Hospital São Marcos, Teresina, Piauí, Brazil.

Felipe José da Silva Melo Cruz, Hospital São Marcos

MD. Resident in Internal Medicine at Faculdade de Medicina do ABC, Santo André, São Paulo, Brazil.

Wildson Moura Gonçalves, Hospital São Marcos

MD. Resident in General Surgery at Hospital Heliópolis, São Paulo, Brazil.

Sheila de Farias Viana Castelo Branco Rocha, Hospital São Marcos

MD. Attending physician at Universidade Federal do Piauí, Teresina, Piauí, Brazil.

References

Bianco R, de Rosa G, Staibano S, Somma P, Bianco AR. Ovarian luteinized thecoma with sclerosing peritonitis in an adult woman treated with leuprolide and toremifene in complete remission at 5 years. Gynecol Oncol. 2005;96(3):846-9.

Clement PB, Young RH, Hanna W, Scully RE. Sclerosing peritonitis associated with luteinized thecomas of the ovary. A clinicopathological analysis of six cases. Am J Surg Pathol. 1994;18(1):1-13.

Iwasa Y, Minamiguchi S, Konishi I, Onodera H, Zhou J, Yamabe H. Sclerosing peritonitis associated with luteinized thecoma of the ovary. Pathol Int. 1996;46(7):510-4.

del Peso G, Bajo MA, Gil F, et al. Clinical experience with tamoxifen in peritoneal fibrosing syndromes. Adv Perit Dial. 2003;19:32-5.

Nishida T, Ushijima K, Watanabe J, Kage M, Nagaoka S. Sclerosing peritonitis associated with luteinized thecoma of the ovary. Gynecol Oncol. 1999;73(1):167-9.

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Published

2008-03-03

How to Cite

1.
Vieira SC, Santos LG dos, Cruz FJ da SM, Gonçalves WM, Rocha S de FVCB. Sclerosing peritonitis associated with luteinized thecoma and elevated serum CA 125 levels: case report. Sao Paulo Med J [Internet]. 2008 Mar. 3 [cited 2025 Mar. 9];126(2):123-5. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/1951

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Section

Case Report