[Peritoneal tuberculosis with elevated CA-125 serum levels].
Peritoneal tuberculosis is uncommon today. Its symptoms are insidious and non-specific, simulating symptoms of peritonitis carcinomatosa. We report the case of a 35-year-old woman with ascites and elevated serum CA-125 levels, in which explorative laparotomy with the previsional diagnosis of ovarian carcinoma, revealed peritoneal tuberculosis. After treatment with bacteriocidal chemotherapeutic agents, the serum CA-125 returned to normal, and the patient has been well for 12 months postoperatively. Serum CA-125 levels are elevated in the case of peritoneal tuberculosis, and the possibility of this rare pathology should always be considered in patients with a previsional diagnosis of peritonitis carcinomatosa.
Loverro
G
G
Cattedra di Patologia Ostetrica e Ginecologica, Università degli Studi di Bari.
Cormio
G
G
Di Vagno
G
G
D000328:Adult; D000904:Antibiotics, Antitubercular / Q000627:therapeutic use; D000951:Antigens, Neoplasm / Q000276:immunology*; D001201:Ascites / Q000209:etiology; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D010534:Peritoneal Neoplasms / Q000175:diagnosis* / Q000276:immunology; D014395:Peritonitis, Tuberculous / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology
D000904:Antibiotics, Antitubercular; D000951:Antigens, Neoplasm
Tubercolosi peritoneale con elevati livelli serici di CA-125.