Pelvic Tuberculosis Diagnosed during Operative Laparoscopy for Suspected Ovarian Cancer.
Publication/Presentation Date
1-1-2018
Abstract
BACKGROUND: While the combination of a pelvic mass, very high serum level of CA-125, chest adenopathy, and ascites is concerning for advanced-stage ovarian cancer, the etiology of such a presentation can be due to disseminated pelvic tuberculosis.
CASE: A 67-year-old para 2 African-American woman presented with abdominal pain and shortness of breath. Subsequent CT and MR imaging demonstrated chest adenopathy, a pelvic mass, omental caking, and ascites. The patient underwent diagnostic laparoscopy with biopsy revealing noncaseating granulomas and subsequent tissue culture revealed
CONCLUSION: Pelvic tuberculosis can mimic advanced-stage ovarian cancer; thus obtaining a tissue sample may be beneficial to more appropriately direct treatment and planning for neoadjuvant therapies given the ineffectiveness of extensive surgical procedures in treating pelvic tuberculosis commonly employed in the treatment of advanced-stage ovarian cancer.
Volume
2018
First Page
6452721
Last Page
6452721
ISSN
2090-6684
Published In/Presented At
Martingano, D., Cagle-Colon, K., Chiaffarano, J., Marcus, A., & Contreras, D. (2018). Pelvic Tuberculosis Diagnosed during Operative Laparoscopy for Suspected Ovarian Cancer. Case reports in obstetrics and gynecology, 2018, 6452721. https://doi.org/10.1155/2018/6452721
Disciplines
Medicine and Health Sciences
PubMedID
29850317
Department(s)
Department of Pathology and Laboratory Medicine
Document Type
Article