General Gynecology

Archives of Gynecology and Obstetrics

, Volume 282, Issue 6, pp 643-648

First online:

Abdomino-peritoneal tuberculosis masquerading as ovarian cancer: a retrospective study of 26 cases

  • Jai Bhagwan SharmaAffiliated withDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences Email author 
  • , Sunesh K. JainAffiliated withDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences
  • , Mohanraj PushparajAffiliated withDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences
  • , Kallol K. RoyAffiliated withDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences
  • , Neena MalhotraAffiliated withDepartment of Obstetrics and Gynecology, All India Institute of Medical Sciences
  • , Vijay ZutshiAffiliated withDepartment of Obstetrics and Gynecology, Lok Nayak Hospital
  • , Shalini RajaramAffiliated withDepartment of Obstetrics and Gynecology, University College of Medical Science and GTB Hospital

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Abstract

Purpose

Evaluation of clinical, laboratory, and operative findings in women of abdomino-pelvic tuberculosis undergoing laparotomy for suspected ovarian cancer.

Methods

A retrospective analysis of 26 women who underwent laparotomy for ovarian cancer and found to have abdomino-pelvic tuberculosis in three hospitals of Delhi.

Results

The mean age was 34.65 years. Symptoms were menstrual dysfunction in 12 (46.2%), abdominal distension (8 women, 30.7%), abdominal pain (26 women, 100%), abdominal mass (5 women, 19.2%). Mean and standard deviation (SD) of Ca-125 levels were 594.22 ± 770.07. The mean ± SD of right and left tubovarian mass being 5.82 ± 3.94 cm and 5.81 ± 3.21 cm, respectively. Abdominal hysterectomy was done in 4 (15.4%) cases, right ovariotomy in 5 (19.2%), left Ovariotomy in 6 (23.1%), biopsies from right ovary 11 (42.3%), left ovary 7 (26.9%), omentum 10 (38.5%), peritoneum in 15 (57.7%). Tuberculous granuloma and AFB stain on histopathology were observed in all cases.

Conclusion

Peritoneal tuberculosis with abdomino-pelvic masses was difficult to differentiate from ovarian cancer. Antitubercular drugs are the treatment of choice and complete surgery being difficult and hazardous should be avoided.

Keywords

Peritoneal tuberculosis Ovarian cancer Malignancy Ca-125