Abdominopelvic tuberculosis simulating disseminated ovarian carcinoma with elevated CA-125 level: report of two cases

Barutçu, Özlem; Erel, HE; Saygılı, Esra; Yıldırım, Tülin; Torun, Dılek

doi:10.1007/s00261-001-0072-1

Cited by 33 publications

(23 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…CA 125 is an important marker of gynaecologic malignancies, foremost ovarian cancer, but elevation of CA 125 level can be seen in some benign pathologies like endometriosis, pregnancy, adenomyosis and pelvic inflammatory disease (Sheth, 1996). CA 125 levels also arise in peritoneal tuberculosis, but decrease to normal range after the treatment of the disease (Thakur et al, 2001;Barutcu et al, 2002). As our patient had high CA 125 levels, there are many case reports of peritoneal tuberculosis with elevated CA 125 levels in the literature (Thakur et al, 2001;Corapcıoglu et al, 2006;Koc et al, 2006).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Peritoneal tuberculosis mimicking ovarian cancer

Kurtoğlu¹,

Gürel²

2012

jecm

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

“…The clinical and laboratory fi ndings of peritoneal tuberculosis can cause diffi culties in differential diagnosis. Because of abdominal pain and distension, weight loss, cystic or solid masses, ascites and elevated CA 125 levels, peritoneal tuberculosis usually mimickings ovarian cancer (Barutcu et al, 2002;Piura et al, 2002).…”

Section: Introductionmentioning

confidence: 99%

Peritoneal tuberculosis mimicking ovarian cancer

Kurtoğlu¹,

Gürel²

2012

jecm

View full text Add to dashboard Cite

“…Ciò può avvenire anche in assenza di sintomi classici di infezione sistemica, come tosse, febbre o versamento pleurico [32]. L'ascite tubercolare rappresenta poco più dell'1% delle cause di ascite e viene diagnosticata con l'isolamento del Mycobacterium nel liquido ascitico (che richiede alcune settimane) e/o con la dimostrazione di granulomi caseosi o di bacilli alcol/acido resistenti nelle biopsie peritoneali, effettuate in corso di laparoscopia (l'accertamento considerato più conclusivo) o con la risposta dell'ascite al trattamento specifico [33][34][35][36]. I test più recenti, come l'amplificazione con PCR del DNA, consentono una diagnosi veloce, ma soffrono di scarsa sensibilità [37,38].…”

Section: Domande Da Porsiunclassified

A case of inflammatory ascites

Biolato

Gabrieli

Gallo

et al. 2008

CMI

View full text Add to dashboard Cite

Un caso di ascite infiammatoria CASO CLINICOAM, donna di anni 71 anni, casalinga, nel gennaio 2007 veniva alla nostra osservazione per una progressiva distensione addominale senza dolore accusata negli ultimi quattro mesi, associata al peggioramento dei suoi abituali edemi declivi (normalmente presenti ma di minore entità) e per dispnea per sforzi lievi nell'ultima settimana, non accompagnata da alterazioni dell'alvo o febbre.La paziente era affetta da diabete mellito di tipo 2 e da cardiopatia valvolare mitralica trattata con sostituzione valvolare metallica (protesi di Biork-Shiley) nel 1982, complicata da fibrillazione atriale cronica e ipertensione polmonare, con pregressa perforazione del lembo d'inserzione (1998). Nel 1986 era stata sottoposta a colecistectomia per litiasi.La paziente riferiva allergia alla penicillina (orticaria-angioedema), intolleranza agli ACE-inibitori (tosse secca) ed allergia AbstractEven ascites appears mainly as sign of portal hypertension in patiens with liver cirrhosis, in some case depends on a different lying condition such as right congestive heart failure, peritoneal carcinomatosis or tuberculosis. In these cases, paracentesis represents the key tool for diagnosis. We report a case of cardiac ascites in a 71-years-old woman who developed in four-month an abdominal distension. Preliminary exams showed exudative ascites related to portal hypertension, a pelvic mass with caseous apparence, and inflammatory status ad an elevation of CA-125. Successive evaluation exluded peritoneal carcinomatosis or tuberculosis, underlyng a tricuspidal regurgitation. The literature on ascites has also been reviewed.

show abstract

“…The clinical features of TB peritonitis are nonspecific and include abdominal pain, fever, weight loss, and diarrhea. Elevated serum levels of cancer antigen (CA)-125 has been documented in this disease and was subsequently recommended as an indirect marker for disease progression (4)(5)(6). Herein, we describe a rare case of primary small intestinal NK/T-L that mimicked TB peritonitis.…”

Section: Introductionmentioning

confidence: 98%

Primary Small Intestinal Natural Killer/T Cell Lymphoma Mimicking Tuberculous Peritonitis: Report of a Case and Review of the Literature

et al. 2011

View full text Add to dashboard Cite

Extranodal natural killer/T cell lymphoma is very rarely encountered in clinical practice. It has a high mortality rate and very short median survival. Early diagnosis of these rare tumors, especially those originating from the small intestine, is usually difficult because of its nonspecific symptoms. Herein, we describe a case of a primary small intestinal natural killer/T cell lymphoma in a 52-year-old man who presented with abdominal fullness and weight loss. The clinical symptoms, elevation of serum levels of cancer antigen-125, and presence of ascites initially led to the suspicion of tuberculous peritonitis. Abdominal computed tomography scan demonstrated a hypodense tumor in the jejunum. Finally, the tumor was surgically confirmed to be a natural killer/T-cell lymphoma. Although aggressive chemotherapy was prescribed, the patient subsequently died of disease progression. In addition, we also review the English literature on this rare disease.

show abstract

Abdominopelvic tuberculosis simulating disseminated ovarian carcinoma with elevated CA-125 level: report of two cases

Cited by 33 publications

References 14 publications

Peritoneal tuberculosis mimicking ovarian cancer

Peritoneal tuberculosis mimicking ovarian cancer

A case of inflammatory ascites

Primary Small Intestinal Natural Killer/T Cell Lymphoma Mimicking Tuberculous Peritonitis: Report of a Case and Review of the Literature

Contact Info

Product

Resources

About