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

作者:Sharma Jai Bhagwan*; Jain Sunesh K; Pushparaj Mohanraj; Roy Kallol K; Malhotra Neena; Zutshi Vijay; Rajaram Shalini
来源:Archives of Gynecology and Obstetrics, 2010, 282(6): 643-648.
DOI:10.1007/s00404-009-1295-6

摘要

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 +/- A 770.07. The mean +/- A SD of right and left tubovarian mass being 5.82 +/- A 3.94 cm and 5.81 +/- A 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.