title: Pelvic tuberculosis mimicking advanced ovarian malignancy.
abstract: We sought to identify the characteristic features of pelvic tuberculosis (TB) in women with symptoms and sonogaphic findings which were otherwise consistent with an ovarian malignancy. This study is a retrospective analysis of 138 women who underwent an operation and had a preoperative diagnosis of ovarian malignancy at the Government Medical College Hospital, Chandigarh, from January 2004 to January 2008. Among these 138 women, seven cases (5.7%) of pelvic TB were identified. Abdominal pain and distension were the most common presenting symptoms. All patients had a pelvic mass, six had ascites (85%) and five had a fever (71%). The mean cancer antigen (CA) 125 level was 295 IU (13-529). Pelvic TB can present with symptoms and signs which mimic ovarian malignancy. Therefore, a high-index of clinical suspicion should be maintained when treating patients in countries with a high prevalence of TB.
authors.affiliation: Guru Gobind Singh Medical College, Faridkot, India.
authors.forename: Lajya
authors.initials: L
authors.lastname: Devi
authors.forename: Rimpy
authors.initials: R
authors.lastname: Tandon
authors.forename: Poonam
authors.initials: P
authors.lastname: Goel
authors.forename: Anju
authors.initials: A
authors.lastname: Huria
authors.forename: Pradip Kumar
authors.initials: PK
authors.lastname: Saha
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis; D000328:Adult; D001201:Ascites / Q000175:diagnosis / Q000473:pathology; D018394:CA-125 Antigen / Q000097:blood; D003937:Diagnosis, Differential; D005260:Female; D005334:Fever; D006801:Humans; D007813:Laparotomy; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D010388:Pelvis / Q000382:microbiology / Q000473:pathology; D014395:Peritonitis, Tuberculous / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D014463:Ultrasonography; D055815:Young Adult
chemical_list: D018394:CA-125 Antigen