Abdominopelvic tuberculosis mimicking advanced ovarian cancer and pelvic inflammatory disease: a series of 28 female cases

Abstract

Although it is difficult to exactly distinguish APTB from AOC and PID without operation, it is important because the treatment of APTB is totally based on medical therapy other than surgery. Some difference may be found out if clinical manifestation, physical examination, laboratory tests and imaging findings are carefully analyzed to avoid unnecessary extensive surgery and improve the prognosis.

In Front of Bilateral Pseudo Tumoral Ovarian Mass: Think about Tuberculosis

“…As shown in our observation, the pseudo tumoral form of genital tuberculosis mainly affects young women between 20 and 30 years [2]. In our case, the spread of TB to the peritoneum has probably made by contiguity from the ovarian lesions.…”

Infectious Diseases Mimicking Ovarian Carcinomatosis

“…Extra pulmonary tuberculosis is not uncommon in endemic areas [2,6]. In cases of pelvic tuberculosis, which accounts for 11-16% of extrapulmonary TB, women often deny exposure to TB and do not have respiratory symptoms [2,6,7].…”

“…In cases of pelvic tuberculosis, which accounts for 11-16% of extrapulmonary TB, women often deny exposure to TB and do not have respiratory symptoms [2,6,7]. Presenting complaints often include abdominal pain, abdominal swelling, weight loss, vaginal bleeding and infertility.…”

“…Due to the nonspecific symptoms, women are frequently misdiagnosed. The most common misdiagnosis is ovarian cancer, but also includes pelvic inflammatory disease, tubo-ovarian abscess, ectopic pregnancy and disseminated carcinomatosis [2,6,7]. The diagnostic accuracy of commercial tests for extra pulmonary TB is highly variable and culture remains the gold standard [6,7].…”

“…The most common misdiagnosis is ovarian cancer, but also includes pelvic inflammatory disease, tubo-ovarian abscess, ectopic pregnancy and disseminated carcinomatosis [2,6,7]. The diagnostic accuracy of commercial tests for extra pulmonary TB is highly variable and culture remains the gold standard [6,7]. Women should also be tested for sexually transmitted infections, especially the Human Immunodeficiency Virus (HIV), as In treating women with gynecologic malignancies, consideration should be given to alternative and concomitant diagnoses of infectious diseases like tuberculosis and schistosomiasis.…”