Primary Pelvic Tuberculosis That Mimics Ovarian Cancer: A Case Report

Authors

  • Özlem Seçilmiş Kerimoğlu Selçuk University Selçuklu Medicine Faculty Department of Obstetrics and Gynecology, Konya
  • Berat Berrin Gençoğlu Selçuk University Selçuklu Medicine Faculty Department of Obstetrics and Gynecology, Konya
  • Aybike Tazegül Pekin Selçuk University Selçuklu Medicine Faculty Department of Obstetrics and Gynecology, Konya
  • Nasuh Utku Doğan Selçuk University Selçuklu Medicine Faculty Department of Obstetrics and Gynecology, Konya
  • Setenay Arzu Yılmaz Selçuk University Selçuklu Medicine Faculty Department of Obstetrics and Gynecology, Konya
  • Çetin Çelik Selçuk University Selçuklu Medicine Faculty Department of Obstetrics and Gynecology, Konya

Keywords:

Pelvic tuverculosis, Ovarian cancer, Ca 125

Abstract

Due to the lack of specific clinical and radiological signs, it is difficult to differentiate genital tuberculosis from ovarian carcinomas and gastrointestinal diseases. Radiological evaluation and increased level of Ca125 may lead to misdiagnosis of disseminated ovarian cancer. A 30 year old women with the complaints of menstrual irregularity, abdominal pain and elevated levels of Ca-125, was evaluated for ovarian cancer. Pelvic magnetic resonance imaging showed minimal ascites fluid and multiple cysts in the right ovary. Intra-operative frozen-section analysis was performed on right paratubal mass and bilateral salphinx. As a result of the frozen-section analysis, granuloma that contained caseous necrosis was reported as tuberculosis. Bilateral salpingectomy, right paratubal mass extirpation and bilateral ovarian
tubal tuberculosis. Surgeons should consider genital tuberculosis in the differential diagnosis by avoiding large surgical procedure and intra-operative frozen-section analysis should be done to prevent overtreatment.

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Published

2013-04-30

How to Cite

1.
Seçilmiş Kerimoğlu Özlem, Gençoğlu BB, Tazegül Pekin A, Doğan NU, Yılmaz SA, Çelik Çetin. Primary Pelvic Tuberculosis That Mimics Ovarian Cancer: A Case Report. Gynecol Obstet Reprod Med [Internet]. 2013Apr.30 [cited 2022May27];19(1):49-51. Available from: https://gorm.com.tr/index.php/GORM/article/view/184

Issue

Section

Case Reports

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