open access

Vol 77, No 4 (2009)
CASE REPORTS
Published online: 2009-06-26
Submitted: 2013-02-22
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Peritoneal tuberculosis mimicking ovarian cancer - diagnostic difficulties. Two cases reports

Jacek Zamłyński, Anita Olejek, Ewa Oleś, Katarzyna Stęplewska, Andrzej Krzywiecki, Grażyna Myrcik, Piotr Bodzek, Marta Paliga-Żytniewska, Alicja Gajewska
Pneumonol Alergol Pol 2009;77(4):422-428.

open access

Vol 77, No 4 (2009)
CASE REPORTS
Published online: 2009-06-26
Submitted: 2013-02-22

Abstract

Tuberculosis, and particularly its extrapulmonary location, still causes diagnostic difficulties. In 2007, 7.3% of newly registered cases of tuberculosis in Poland were located extrapulmonarily. Peritoneal tuberculosis is often misdiagnosed as ovarian cancer due to similar symptoms such as: abdominal pain, abdominopelvic masses, ascites and elevated CA-125 serum concentration. We present reports of two patients with suspected ovarian cancer at admission. The patients’ complaints, as well as elevated serum levels of CA-125, suggested ovarian cancer. Chest X-rays showed a normal picture in one case and minimal fibrotic changes in the other. The results of additional tests were uncharacteristic. Based on the data obtained by diagnostic laparoscopy, observed clinical symptoms and the intraoperative picture, which all suggested ovarian cancer, a resection (total abdominal hysterectomy and bilateral salpingo-oophorectomy) was performed in both cases. Histological evaluation of biopsy specimens revealed peritoneal tuberculosis in both cases.

Abstract

Tuberculosis, and particularly its extrapulmonary location, still causes diagnostic difficulties. In 2007, 7.3% of newly registered cases of tuberculosis in Poland were located extrapulmonarily. Peritoneal tuberculosis is often misdiagnosed as ovarian cancer due to similar symptoms such as: abdominal pain, abdominopelvic masses, ascites and elevated CA-125 serum concentration. We present reports of two patients with suspected ovarian cancer at admission. The patients’ complaints, as well as elevated serum levels of CA-125, suggested ovarian cancer. Chest X-rays showed a normal picture in one case and minimal fibrotic changes in the other. The results of additional tests were uncharacteristic. Based on the data obtained by diagnostic laparoscopy, observed clinical symptoms and the intraoperative picture, which all suggested ovarian cancer, a resection (total abdominal hysterectomy and bilateral salpingo-oophorectomy) was performed in both cases. Histological evaluation of biopsy specimens revealed peritoneal tuberculosis in both cases.
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Keywords

ovarian cancer; peritoneal tuberculosis; differential diagnosis

About this article
Title

Peritoneal tuberculosis mimicking ovarian cancer - diagnostic difficulties. Two cases reports

Journal

Advances in Respiratory Medicine

Issue

Vol 77, No 4 (2009)

Pages

422-428

Published online

2009-06-26

Bibliographic record

Pneumonol Alergol Pol 2009;77(4):422-428.

Keywords

ovarian cancer
peritoneal tuberculosis
differential diagnosis

Authors

Jacek Zamłyński
Anita Olejek
Ewa Oleś
Katarzyna Stęplewska
Andrzej Krzywiecki
Grażyna Myrcik
Piotr Bodzek
Marta Paliga-Żytniewska
Alicja Gajewska

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