title: Endometriosis mimicking ovarian cancer in the setting of acquired immune deficiency syndrome.
abstract: BACKGROUND
  With rising rates of human immunodeficiency virus (HIV) among women and resultant immunosuppression, clinicians face varying presentations of gynecologic pathologies. We report a case of endometriosis in a patient with acquired immunodeficiency syndrome (AIDS) presenting with a Sister Mary Joseph's nodule and mimicking carcinomatosis.
  
  
  METHODS
  A woman with AIDS and 2-month history of abdominal pain, distention, and weight loss was found to have periumbilical and pelvic masses, ascites, lymphadenopathy, and an elevated CA 125 level. Operative findings included chocolate-colored ascites and peritoneal seeding involving the ovaries, uterus, appendix, bowel, umbilicus, and omentum. The patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy and resection of all gross disease. Pathologic diagnosis was endometriosis and AIDS-associated adenopathy.
  
  
  CONCLUSIONS
  Immunodeficiency from AIDS can affect the progression of endometriosis to the point of mimicking ovarian malignancy.
authors.affiliation: From the Division of Maternal-Fetal Medicine, Department of Obstetrics & Gynecology, University of North Carolina School of Medicine, Chapel Hill, North Carolina; and Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Washington Hospital Center, Washington, DC.
authors.forename: Sina
authors.initials: S
authors.lastname: Haeri
authors.forename: Jonathan A
authors.initials: JA
authors.lastname: Cosin
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000150:complications*; D000328:Adult; D002277:Carcinoma / Q000175:diagnosis*; D003937:Diagnosis, Differential; D004715:Endometriosis / Q000175:diagnosis* / Q000601:surgery / Q000821:virology*; D005260:Female; D006801:Humans; D010051:Ovarian Neoplasms / Q000175:diagnosis*