Pelvic-peritoneal Tuberculosis Presenting as an Adnexal Mass and Mimicking Ovarian Cancer

Gupta, Amit Narayan and Shivashankara, KN (2013) Pelvic-peritoneal Tuberculosis Presenting as an Adnexal Mass and Mimicking Ovarian Cancer. Annals of Tropical Medicine and Public Health, 6 (1). pp. 117-119.

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Abstract

Diagnosis of pelvic- peritoneal tuberculosis is often difficult, because of its nonspecific clinical, laboratory and radiological findings. The presence of an adnexal mass, ascites, and raised CA 125 level, may be mistaken as ovarian malignancy. Peritoneal tuberculosis should be considered in the differential diagnosis of adnexal masses, ascites and elevated CA 125. Ascitic fluid adenosine deaminase (ADA), polymerase chain reaction (PCR) for Mycobacterium tuberculosis and endometrial biopsy may help to distinguish pelvic-peritoneal tuberculosis from ovarian malignancy. Peritoneal tuberculosis can be managed by antituberculosis therapy (ATT), therefore these test should be performed before surgery to exclude peritoneal tuberculosis, so that invasive and expensive surgery could be avoided.

Item Type: Article
Uncontrolled Keywords: CA 125; Ovarian malignancy; Pelvic- peritoneal tuberculosis
Subjects: Medicine > KMC Manipal > Medicine
Depositing User: KMC Manipal
Date Deposited: 24 Apr 2014 04:41
Last Modified: 24 Apr 2014 04:41
URI: http://eprints.manipal.edu/id/eprint/139438

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