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01.12.2010 | General Gynecology

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

verfasst von: Jai Bhagwan Sharma, Sunesh K. Jain, Mohanraj Pushparaj, Kallol K. Roy, Neena Malhotra, Vijay Zutshi, Shalini Rajaram

Erschienen in: Archives of Gynecology and Obstetrics | Ausgabe 6/2010

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Abstract

Purpose

Evaluation of clinical, laboratory, and operative findings in women of abdomino-pelvic tuberculosis undergoing laparotomy for suspected ovarian cancer.

Methods

A retrospective analysis of 26 women who underwent laparotomy for ovarian cancer and found to have abdomino-pelvic tuberculosis in three hospitals of Delhi.

Results

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.

Conclusion

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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Titel: Abdomino-peritoneal tuberculosis masquerading as ovarian cancer: a retrospective study of 26 cases
verfasst von: Jai Bhagwan Sharma
Sunesh K. Jain
Mohanraj Pushparaj
Kallol K. Roy
Neena Malhotra
Vijay Zutshi
Shalini Rajaram
Publikationsdatum: 01.12.2010
Verlag: Springer-Verlag
Erschienen in: Archives of Gynecology and Obstetrics / Ausgabe 6/2010
Print ISSN: 0932-0067
Elektronische ISSN: 1432-0711
DOI: https://doi.org/10.1007/s00404-009-1295-6

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