Pelvic tuberculosis presenting as an asymptomatic pelvic mass with rising serum CA-125 levels. A case report.
BACKGROUND
The incidence of tuberculosis is rapidly rising. This disease may present in an atypical manner, and physicians must reacquaint themselves with its protean manifestations.


METHODS
A 41-year-old woman presented with an asymptomatic pelvic mass and rising levels of serum CA-125. At operation she had bilateral adnexal masses and generalized military peritoneal lesions, initially mistaken for ovarian carcinoma. The final diagnosis demonstrated tuberculosis.


CONCLUSIONS
Tuberculosis must enter into the diagnosis of a pelvic mass.
Miranda
P
P
Department of Obstetrics and Gynecology, Beth Israel Medical Center, New York, New York 10003, USA.
Jacobs
A J
AJ
Roseff
L
L
D000328:Adult; D018394:CA-125 Antigen / Q000097:blood*; D003937:Diagnosis, Differential; D004717:Endometrium / Q000473:pathology; D005187:Fallopian Tubes / Q000473:pathology; D005260:Female; D006801:Humans; D010051:Ovarian Neoplasms / Q000097:blood* / Q000175:diagnosis* / Q000473:pathology; D014384:Tuberculosis, Female Genital / Q000097:blood* / Q000175:diagnosis* / Q000473:pathology
D018394:CA-125 Antigen