Extraovarian conditions mimicking ovarian cancer: a single center experience of 15 years.
OBJECTIVE
This study aims to review cases of extra-ovarian conditions that resembled ovarian malignancy and thus, to evaluate the distribution of primary pathology mimicking ovarian malignancy.


METHODS
A retrospective review of women, with final pathology of extra-ovarian diseases mimicking ovarian malignancy, which were managed at Zekai Tahir Burak Women's Health Education and Research Hospital, from January 1995 to April 2010 was undertaken.


RESULTS
Among the 2,210 women treated during the study period, extra-ovarian diseases accounted for 5.11% (113/2,210) of all the cases. Of the 113 extra-ovarian diseases, 42 (37.17%) were peritoneal tuberculosis, 25 (22.13%) were gastrointestinal malignancies, 20 (17.70%) were pelvic abscess, 8 (7.08%) were pelvic echinococcosis, 8 (7.08) were schwannoma and other retroperitoneal tumors, 4 (3.53%) were malignant lymphoma, 2 (1.77%) were chronic ectopic pregnancy, gossypiboma, and mesenteric cyst, respectively.


CONCLUSIONS
Medical awareness of infectious diseases such as peritoneal tuberculosis, pelvic abscess, and pelvic echinococcosis in the differential diagnosis of ovarian malignancy is still lacking, especially in developing countries. In addition, in case of a pelvic mass, gastrointestinal and retroperitoneal tumors and malignant lymphoma should always be considered to avoid pitfalls in diagnosis and therapy.
Ozat
Mustafa
M
Department of Gynecologic Oncology, Zekai Tahir Burak Women's Health Education and Research Hospital, Ankara, Turkey.
Altinkaya
Sunduz Ozlem
SO
Gungor
Tayfun
T
Cağlar
Mete
M
Zergeroglu
Sema
S
Karaca
Mujdegul
M
Besli
Mustafa
M
Mollamahmutoglu
Leyla
L
D000038:Abscess / Q000175:diagnosis / Q000378:metabolism; D000230:Adenocarcinoma / Q000175:diagnosis / Q000378:metabolism; D000293:Adolescent; D000328:Adult; D000368:Aged; D018394:CA-125 Antigen / Q000378:metabolism; D003937:Diagnosis, Differential; D004443:Echinococcosis / Q000175:diagnosis / Q000378:metabolism; D005260:Female; D005547:Foreign Bodies / Q000175:diagnosis / Q000378:metabolism; D005770:Gastrointestinal Neoplasms / Q000175:diagnosis* / Q000378:metabolism; D006801:Humans; D008223:Lymphoma / Q000175:diagnosis / Q000378:metabolism; D008639:Mesenteric Cyst / Q000175:diagnosis / Q000378:metabolism; D008875:Middle Aged; D009442:Neurilemmoma / Q000175:diagnosis / Q000378:metabolism; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000378:metabolism*; D010388:Pelvis; D014395:Peritonitis, Tuberculous / Q000175:diagnosis / Q000378:metabolism; D011247:Pregnancy; D011271:Pregnancy, Ectopic / Q000175:diagnosis / Q000378:metabolism; D012186:Retroperitoneal Neoplasms / Q000175:diagnosis* / Q000378:metabolism; D012189:Retrospective Studies; D055815:Young Adult
D018394:CA-125 Antigen