Etiopathogenesis, diagnostic evaluation, and management of ovarian tuberculosis: A systematic review
Ovarian tuberculosis is a rare entity with non-specific clinical manifestations, difficult diagnosis, and specific medical management. Ovarian involvement in tuberculosis (TB) may occur in two forms, namely, perioophoritis and oophoritis. The constitutional symptoms of tuberculosis such as anorexia,...
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Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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Series: | Indian Journal of Pathology and Microbiology |
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Online Access: | https://journals.lww.com/10.4103/ijpm.ijpm_6_23 |
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author | Ashutosh Nagpal Poras Chaudhary |
author_facet | Ashutosh Nagpal Poras Chaudhary |
author_sort | Ashutosh Nagpal |
collection | DOAJ |
description | Ovarian tuberculosis is a rare entity with non-specific clinical manifestations, difficult diagnosis, and specific medical management. Ovarian involvement in tuberculosis (TB) may occur in two forms, namely, perioophoritis and oophoritis. The constitutional symptoms of tuberculosis such as anorexia, weight loss, night sweats, and evening rise in temperature have been reported in up to 45% of patients. Misdiagnosis and delayed diagnosis are common. A direct histopathological demonstration is the best diagnostic modality. Fine needle aspiration cytology (FNAC) is the study of choice and polymerase chain reaction (PCR) assay increases its sensitivity. The standard short-course antituberculous for 6 months is recommended for isolated ovarian tuberculosis and for widespread disease, 12 months of therapy is recommended. Surgery is reserved for failure of medical therapy and abscess formation. There are many studies on genito-urinary tuberculosis but a detailed study defining diagnostic studies and management guidelines is still lacking. This article aims to present and share a review of the English-language literature on ovarian tuberculosis to gain a better understanding of etiopathogenesis and diagnostic methods and to provide guidelines for its management. |
format | Article |
id | doaj-art-afd5abaf485f4650a5ae29e9b21d5936 |
institution | Kabale University |
issn | 0377-4929 0974-5130 |
language | English |
publishDate | 2023-01-01 |
publisher | Wolters Kluwer Medknow Publications |
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series | Indian Journal of Pathology and Microbiology |
spelling | doaj-art-afd5abaf485f4650a5ae29e9b21d59362025-01-22T15:07:23ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49290974-51302023-01-016712910.4103/ijpm.ijpm_6_23Etiopathogenesis, diagnostic evaluation, and management of ovarian tuberculosis: A systematic reviewAshutosh NagpalPoras ChaudharyOvarian tuberculosis is a rare entity with non-specific clinical manifestations, difficult diagnosis, and specific medical management. Ovarian involvement in tuberculosis (TB) may occur in two forms, namely, perioophoritis and oophoritis. The constitutional symptoms of tuberculosis such as anorexia, weight loss, night sweats, and evening rise in temperature have been reported in up to 45% of patients. Misdiagnosis and delayed diagnosis are common. A direct histopathological demonstration is the best diagnostic modality. Fine needle aspiration cytology (FNAC) is the study of choice and polymerase chain reaction (PCR) assay increases its sensitivity. The standard short-course antituberculous for 6 months is recommended for isolated ovarian tuberculosis and for widespread disease, 12 months of therapy is recommended. Surgery is reserved for failure of medical therapy and abscess formation. There are many studies on genito-urinary tuberculosis but a detailed study defining diagnostic studies and management guidelines is still lacking. This article aims to present and share a review of the English-language literature on ovarian tuberculosis to gain a better understanding of etiopathogenesis and diagnostic methods and to provide guidelines for its management.https://journals.lww.com/10.4103/ijpm.ijpm_6_23biopsyetiopathogenesismedical managementovarian tuberculosissurgery |
spellingShingle | Ashutosh Nagpal Poras Chaudhary Etiopathogenesis, diagnostic evaluation, and management of ovarian tuberculosis: A systematic review Indian Journal of Pathology and Microbiology biopsy etiopathogenesis medical management ovarian tuberculosis surgery |
title | Etiopathogenesis, diagnostic evaluation, and management of ovarian tuberculosis: A systematic review |
title_full | Etiopathogenesis, diagnostic evaluation, and management of ovarian tuberculosis: A systematic review |
title_fullStr | Etiopathogenesis, diagnostic evaluation, and management of ovarian tuberculosis: A systematic review |
title_full_unstemmed | Etiopathogenesis, diagnostic evaluation, and management of ovarian tuberculosis: A systematic review |
title_short | Etiopathogenesis, diagnostic evaluation, and management of ovarian tuberculosis: A systematic review |
title_sort | etiopathogenesis diagnostic evaluation and management of ovarian tuberculosis a systematic review |
topic | biopsy etiopathogenesis medical management ovarian tuberculosis surgery |
url | https://journals.lww.com/10.4103/ijpm.ijpm_6_23 |
work_keys_str_mv | AT ashutoshnagpal etiopathogenesisdiagnosticevaluationandmanagementofovariantuberculosisasystematicreview AT poraschaudhary etiopathogenesisdiagnosticevaluationandmanagementofovariantuberculosisasystematicreview |