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題 名 | Clinical Presentation of Pelvic Tuberculosis Imitating Ovarian Malignancy |
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作 者 | Huang,Yun-ju; Wei,Lin-hung; Hsieh,Chang-yao; | 書刊名 | Taiwanese Journal of Obstetrics & Gynecology |
卷 期 | 43:1 2004.03[民93.03] |
頁 次 | 頁29-34 |
分類號 | 417.25 |
關鍵詞 | Tuberculosis; Ovarian cancer; CA-125; |
語 文 | 英文(English) |
英文摘要 | Objective: Pelvic tuberculosis is rare, but is problematic for differential diagnosis. In this communication, we report a case series of pelvic tuberculosis clinically presenting as ovarian malignancy. Case Series: Over the past 10 years in out hospital, six cases of pelvic tuberculosis were seen. Five were thought to be ovarian malignancies, presenting either with ascites, an elevation of serum CA-125, or an adnexal tumor. Four patients underwent exploratory laparotomy and one received only peritoneal seedings and omental thickening were discovered in all cases. Caseating granuloma on histopathologic examination was found in all of the patients. Four out of five patients received a complete course of combined anti-tuberculous treatement. All remain free of disease. Conclusions: Pelvic tuberculosis should be take into account, especially in premenopausal women who manifest with massive ascites and adnexal tumors. Tumor makers such as CA-125 give limited information for the differential diagnosis of pelvic tuberculosis and ovarian carcinoma. We suggest exploratory laparotomy and intraoperative frozen pathology for the diagnosis of pelvic tuberculosis. New insight needs to be applied to tuberculosis. |
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