title: Abdomino-peritoneal tuberculosis masquerading as ovarian cancer: a retrospective study of 26 cases.
abstract: OBJECTIVE
  Evaluation of clinical, laboratory, and operative findings in women of abdomino-pelvic tuberculosis undergoing laparotomy for suspected ovarian cancer.
  
  
  METHODS
  A retrospective analysis of 26 women who underwent laparotomy for ovarian cancer and found to have abdomino-pelvic tuberculosis in three hospitals of Delhi.
  
  
  RESULTS
  The mean age was 34.65 years. Symptoms were menstrual dysfunction in 12 (46.2%), abdominal distension (8 women, 30.7%), abdominal pain (26 women, 100%), abdominal mass (5 women, 19.2%). Mean and standard deviation (SD) of Ca-125 levels were 594.22 ± 770.07. The mean ± SD of right and left tubovarian mass being 5.82 ± 3.94 cm and 5.81 ± 3.21 cm, respectively. Abdominal hysterectomy was done in 4 (15.4%) cases, right ovariotomy in 5 (19.2%), left Ovariotomy in 6 (23.1%), biopsies from right ovary 11 (42.3%), left ovary 7 (26.9%), omentum 10 (38.5%), peritoneum in 15 (57.7%). Tuberculous granuloma and AFB stain on histopathology were observed in all cases.
  
  
  CONCLUSIONS
  Peritoneal tuberculosis with abdomino-pelvic masses was difficult to differentiate from ovarian cancer. Antitubercular drugs are the treatment of choice and complete surgery being difficult and hazardous should be avoided.
authors: Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India. jbsharma2000@gmail.com
authors: Jai Bhagwan
authors: JB
authors: Sharma
authors: Sunesh K
authors: SK
authors: Jain
authors: Mohanraj
authors: M
authors: Pushparaj
authors: Kallol K
authors: KK
authors: Roy
authors: Neena
authors: N
authors: Malhotra
authors: Vijay
authors: V
authors: Zutshi
authors: Shalini
authors: S
authors: Rajaram
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D007813:Laparotomy; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000175:diagnosis*; D014395:Peritonitis, Tuberculous / Q000175:diagnosis*; D012189:Retrospective Studies; D055815:Young Adult