Primary Pelvic Tuberculosis That Mimics Ovarian Cancer: A Case Report

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...

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Main Authors: Özlem Seçilmiş Kerimoğlu, Berat Berrin Gençoğlu, Aybike Tazegül Pekin, Nasuh Utku Doğan, Setenay Arzu Yılmaz, Çetin Çelik
Format: Article
Language:English
Published: Medical Network 2013-04-01
Series:Gynecology Obstetrics & Reproductive Medicine
Subjects:
Online Access:https://gorm.com.tr/index.php/GORM/article/view/184
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author Özlem Seçilmiş Kerimoğlu
Berat Berrin Gençoğlu
Aybike Tazegül Pekin
Nasuh Utku Doğan
Setenay Arzu Yılmaz
Çetin Çelik
author_facet Özlem Seçilmiş Kerimoğlu
Berat Berrin Gençoğlu
Aybike Tazegül Pekin
Nasuh Utku Doğan
Setenay Arzu Yılmaz
Çetin Çelik
author_sort Özlem Seçilmiş Kerimoğlu
collection DOAJ
description 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.
format Article
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institution Kabale University
issn 1300-4751
2602-4918
language English
publishDate 2013-04-01
publisher Medical Network
record_format Article
series Gynecology Obstetrics & Reproductive Medicine
spelling doaj-art-08e6080995f44190ae1128fe59bc0bb92025-02-11T21:20:06ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182013-04-01191123Primary Pelvic Tuberculosis That Mimics Ovarian Cancer: A Case ReportÖzlem Seçilmiş Kerimoğlu0Berat Berrin Gençoğlu1Aybike Tazegül Pekin2Nasuh Utku Doğan3Setenay Arzu Yılmaz4Çetin Çelik5Selçuk University Selçuklu Medicine Faculty Department of Obstetrics and Gynecology, KonyaSelçuk University Selçuklu Medicine Faculty Department of Obstetrics and Gynecology, KonyaSelçuk University Selçuklu Medicine Faculty Department of Obstetrics and Gynecology, KonyaSelçuk University Selçuklu Medicine Faculty Department of Obstetrics and Gynecology, KonyaSelçuk University Selçuklu Medicine Faculty Department of Obstetrics and Gynecology, KonyaSelçuk University Selçuklu Medicine Faculty Department of Obstetrics and Gynecology, Konya 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. https://gorm.com.tr/index.php/GORM/article/view/184Pelvic tuverculosisOvarian cancerCa 125
spellingShingle Özlem Seçilmiş Kerimoğlu
Berat Berrin Gençoğlu
Aybike Tazegül Pekin
Nasuh Utku Doğan
Setenay Arzu Yılmaz
Çetin Çelik
Primary Pelvic Tuberculosis That Mimics Ovarian Cancer: A Case Report
Gynecology Obstetrics & Reproductive Medicine
Pelvic tuverculosis
Ovarian cancer
Ca 125
title Primary Pelvic Tuberculosis That Mimics Ovarian Cancer: A Case Report
title_full Primary Pelvic Tuberculosis That Mimics Ovarian Cancer: A Case Report
title_fullStr Primary Pelvic Tuberculosis That Mimics Ovarian Cancer: A Case Report
title_full_unstemmed Primary Pelvic Tuberculosis That Mimics Ovarian Cancer: A Case Report
title_short Primary Pelvic Tuberculosis That Mimics Ovarian Cancer: A Case Report
title_sort primary pelvic tuberculosis that mimics ovarian cancer a case report
topic Pelvic tuverculosis
Ovarian cancer
Ca 125
url https://gorm.com.tr/index.php/GORM/article/view/184
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AT beratberringencoglu primarypelvictuberculosisthatmimicsovariancanceracasereport
AT aybiketazegulpekin primarypelvictuberculosisthatmimicsovariancanceracasereport
AT nasuhutkudogan primarypelvictuberculosisthatmimicsovariancanceracasereport
AT setenayarzuyılmaz primarypelvictuberculosisthatmimicsovariancanceracasereport
AT cetincelik primarypelvictuberculosisthatmimicsovariancanceracasereport