Abdomino-peritoneal tuberculosis masquerading as ovarian cancer: a retrospective study of 26 cases.
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.
Sharma
Jai Bhagwan
JB
Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India. jbsharma2000@gmail.com
Jain
Sunesh K
SK
Pushparaj
Mohanraj
M
Roy
Kallol K
KK
Malhotra
Neena
N
Zutshi
Vijay
V
Rajaram
Shalini
S
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