A 40 year old transgender male to female patient establishes care with you for the first time. She says she was healthy until five years ago when she was diagnosed with hepatitis C cirrhosis. She established care at that time and is compliant with a diuretic regimen. However, she's had refractory ascites and edema. Indeed, when you examine her today, you note a tense abdomen with dullness to percussion at the flanks and a positive fluid wave. When you review labs she brought from her previous care provider, you note that she has an elevated CA-125 of 300 U/mL (normal 0-35 U/mL). There is no indication of why this test was sent.
Challenge: What's your interpretation of this test result?
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