Abdomino-peritoneal tuberculosis masquerading as ovarian cancer: a retrospective study of 26 cases

Archives of Gynecology and Obstetrics
Jai Bhagwan SharmaShalini Rajaram

Abstract

Evaluation of clinical, laboratory, and operative findings in women of abdomino-pelvic tuberculosis undergoing laparotomy for suspected ovarian cancer. A retrospective analysis of 26 women who underwent laparotomy for ovarian cancer and found to have abdomino-pelvic tuberculosis in three hospitals of Delhi. The mean age was 34.65 years. Symptoms were menstrual dysfunction in 12 (46.2%), abdominal distension (8 women, 30.7%), abdominal pain (26 women, 100%), abdominal mass (5 women, 19.2%). Mean and standard deviation (SD) of Ca-125 levels were 594.22 ± 770.07. The mean ± SD of right and left tubovarian mass being 5.82 ± 3.94 cm and 5.81 ± 3.21 cm, respectively. Abdominal hysterectomy was done in 4 (15.4%) cases, right ovariotomy in 5 (19.2%), left Ovariotomy in 6 (23.1%), biopsies from right ovary 11 (42.3%), left ovary 7 (26.9%), omentum 10 (38.5%), peritoneum in 15 (57.7%). Tuberculous granuloma and AFB stain on histopathology were observed in all cases. Peritoneal tuberculosis with abdomino-pelvic masses was difficult to differentiate from ovarian cancer. Antitubercular drugs are the treatment of choice and complete surgery being difficult and hazardous should be avoided.

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Citations

Apr 10, 2014·Case Reports in Obstetrics and Gynecology·Munire Erman AkarGulgun Erdogan
Jan 31, 2014·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·I LataifehG Abdeen
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Mar 9, 2012·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Tufan OgeTugba Isikci
Oct 28, 2011·Taiwanese Journal of Obstetrics & Gynecology·Chen-Hsuan WuHao Lin
Dec 15, 2015·Journal of Obstetrics and Gynaecology of India·Jai B Sharma
Jun 4, 2014·The Journal of Obstetrics and Gynaecology Research·Tatsuo NakaharaFumitaka Kikkawa
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Mar 29, 2011·Scandinavian Journal of Infectious Diseases·Ioannis K NeonakisEfthimia Petinaki
Apr 22, 2010·Archives of Gynecology and Obstetrics·Jai Bhagwan SharmaKallol K Roy
Jun 1, 2018·Case Reports in Obstetrics and Gynecology·Daniel MartinganoDiana Contreras
Dec 5, 2018·Case Reports in Infectious Diseases·Christoph SossouJose R Bustillo
Feb 26, 2021·Journal of Human Reproductive Sciences·Kriti TiwariRenu Tanwar
Jun 9, 2021·The Indian Journal of Tuberculosis·Jai Bhagwan Sharma
Jul 3, 2021·Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association·Adnan B Al-Zanbagi, M K Shariff

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