Tuberculosis in Gynecologic Oncology: Still a Diagnostic Dilemma

Reactivated disseminated tuberculosis in pregnancy: Case report and review of the literature

“…Well documented in the literature is the difficulty of distinguishing tuberculosis and suspected gynecologic malignancy. Presenting symptoms, including abdominal pain and weight loss, are often similar; and clinical findings run in parallel, with ascites, retroperitoneal lymphadenopathy, and elevated CA-125 levels [ 4 ]. Patients may present with adnexal masses, particularly in the case of ovarian tuberculosis.…”

“…In fact, many cases are diagnosed during infertility workup [ 3 ]. Rates of genital tuberculosis contributing to infertility vary by geographic location, with incidence as high as 3–16% in higher-prevalence regions such as the Indian subcontinent [ 4 ].…”