Peritoneal Tuberculosis Versus Advanced Ovarian Cancer: A Diagnostic Dilemma

Peritoneal tuberculosis mimics advanced ovarian cancer because of the similarities in clinical signs and symptoms such as ascites, pelvic and abdominal pain and mass, and elevation of serum CA125 level. We have presented four cases of peritoneal tuberculosis that underwent exploratory laparotomy for suspected advanced ovarian cancer during a 3-year period. Definitive diagnosis of tuberculosis was performed at laparotomy in all the cases. The frozen-section analysis seems to be the gold standard in the differential diagnosis. In view of these data, clinical diagnosis of advanced ovarian cancer is not sufficient for administering neoadjuvant chemotherapy. Cytologic or pathologic findings must be consistent with ovarian cancer for candidates who are being considered for neoadjuvant chemotherapy.

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Peritoneal tuberculosis mimicking advanced ovarian cancer case report: Laparoscopy as diagnostic modality

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2021.106495 ◽

2021 ◽

pp. 106495

Author(s):

Sigit Purbadi ◽

Junita Indarti ◽

Hariyono Winarto ◽

Andi Darma Putra ◽

Kartiwa Hadi Nuryanto ◽

...

Keyword(s):

Ovarian Cancer ◽

Case Report ◽

Advanced Ovarian Cancer ◽

Cancer Case ◽

Peritoneal Tuberculosis ◽

Diagnostic Modality ◽

Ovarian Cancer Case

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Peritoneal tuberculosis mimicking advanced ovarian cancer

International Journal of Gynecology & Obstetrics ◽

10.1016/j.ijgo.2005.06.008 ◽

2005 ◽

Vol 90 (3) ◽

pp. 242-244 ◽

Cited By ~ 2

Author(s):

R. Bagga ◽

V. Suri ◽

S. Malhotra ◽

Y. Patel

Keyword(s):

Ovarian Cancer ◽

Advanced Ovarian Cancer ◽

Peritoneal Tuberculosis

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Peritoneal Tuberculosis Mimicking Ovarian Cancer: Gynecologic Ultrasound Evaluation with Histopathological Confirmation

Gastroenterology Insights ◽

10.3390/gastroent12020024 ◽

2021 ◽

Vol 12 (2) ◽

pp. 278-282

Author(s):

Francesca Arezzo ◽

Gerardo Cazzato ◽

Vera Loizzi ◽

Giuseppe Ingravallo ◽

Leonardo Resta ◽

...

Keyword(s):

Ovarian Cancer ◽

Lower Abdominal Pain ◽

Advanced Ovarian Cancer ◽

Rare Condition ◽

Clinical Findings ◽

Peritoneal Tuberculosis ◽

Peritoneal Carcinoma ◽

Peritoneal Cancer ◽

Ultrasound Evaluation ◽

History Of

Peritoneal tuberculosis (TBP) is a very rare condition, accounting for about 1–2% of all tuberculosis cases. The diagnosis of TBP can be easily mistaken for advanced ovarian cancer (AOC) or peritoneal carcinoma because of overlapping laboratory and clinical findings. We reported the ultrasound characteristics of a case of TBP in a 67-year-old woman who presented to our institute with a 1-month history of intermittent lower abdominal pain, fever, and asthenia. Overall, 20 biopsy-retrieved specimen histopathological features were suggestive of peritoneal tuberculosis. Gynecologic ultrasound revealed increased adnexa with multiple nodular formations spread across the surface, suggestive of caseous nodules. Although this is a rare occurrence, clinicians should consider TBP as a differential diagnosis of ovarian or peritoneal cancer.

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