Pelvic Tuberculosis Diagnosed during Operative Laparoscopy for Suspected Ovarian Cancer
Background. While the combination of a pelvic mass, very high serum level of CA-125, chest adenopathy, and ascites is concerning for advanced-stage ovarian cancer, the etiology of such a presentation can be due to disseminated pelvic tuberculosis. Case. A 67-year-old para 2 African-American woman pr...
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| Format: | Article |
| Language: | English |
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Wiley
2018-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2018/6452721 |
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| author | Daniel Martingano Kayla Cagle-Colon Jeanine Chiaffarano Alan Marcus Diana Contreras |
| author_facet | Daniel Martingano Kayla Cagle-Colon Jeanine Chiaffarano Alan Marcus Diana Contreras |
| author_sort | Daniel Martingano |
| collection | DOAJ |
| description | Background. While the combination of a pelvic mass, very high serum level of CA-125, chest adenopathy, and ascites is concerning for advanced-stage ovarian cancer, the etiology of such a presentation can be due to disseminated pelvic tuberculosis. Case. A 67-year-old para 2 African-American woman presented with abdominal pain and shortness of breath. Subsequent CT and MR imaging demonstrated chest adenopathy, a pelvic mass, omental caking, and ascites. The patient underwent diagnostic laparoscopy with biopsy revealing noncaseating granulomas and subsequent tissue culture revealed Mycobacterium tuberculosis. The patient was diagnosed with disseminated pelvic tuberculosis and multidrug therapy was initiated. Conclusion. Pelvic tuberculosis can mimic advanced-stage ovarian cancer; thus obtaining a tissue sample may be beneficial to more appropriately direct treatment and planning for neoadjuvant therapies given the ineffectiveness of extensive surgical procedures in treating pelvic tuberculosis commonly employed in the treatment of advanced-stage ovarian cancer. |
| format | Article |
| id | doaj-art-f0b4d0194af74794a228d7642caf15c9 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-f0b4d0194af74794a228d7642caf15c92025-02-03T01:31:58ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922018-01-01201810.1155/2018/64527216452721Pelvic Tuberculosis Diagnosed during Operative Laparoscopy for Suspected Ovarian CancerDaniel Martingano0Kayla Cagle-Colon1Jeanine Chiaffarano2Alan Marcus3Diana Contreras4Virginia Polytechnic Institute and State University, Virginia College of Osteopathic Medicine, Blacksburg, VA, USADepartment of Obstetrics & Gynecology, New York University School of Medicine, New York, NY, USADepartment of Pathology, New York University School of Medicine, New York, NY, USADepartment of Pathology, New York University School of Medicine, New York, NY, USADivision of Gynecologic Oncology, Department of Obstetrics & Gynecology, Atlantic Health System, Morristown, NJ, USABackground. While the combination of a pelvic mass, very high serum level of CA-125, chest adenopathy, and ascites is concerning for advanced-stage ovarian cancer, the etiology of such a presentation can be due to disseminated pelvic tuberculosis. Case. A 67-year-old para 2 African-American woman presented with abdominal pain and shortness of breath. Subsequent CT and MR imaging demonstrated chest adenopathy, a pelvic mass, omental caking, and ascites. The patient underwent diagnostic laparoscopy with biopsy revealing noncaseating granulomas and subsequent tissue culture revealed Mycobacterium tuberculosis. The patient was diagnosed with disseminated pelvic tuberculosis and multidrug therapy was initiated. Conclusion. Pelvic tuberculosis can mimic advanced-stage ovarian cancer; thus obtaining a tissue sample may be beneficial to more appropriately direct treatment and planning for neoadjuvant therapies given the ineffectiveness of extensive surgical procedures in treating pelvic tuberculosis commonly employed in the treatment of advanced-stage ovarian cancer.http://dx.doi.org/10.1155/2018/6452721 |
| spellingShingle | Daniel Martingano Kayla Cagle-Colon Jeanine Chiaffarano Alan Marcus Diana Contreras Pelvic Tuberculosis Diagnosed during Operative Laparoscopy for Suspected Ovarian Cancer Case Reports in Obstetrics and Gynecology |
| title | Pelvic Tuberculosis Diagnosed during Operative Laparoscopy for Suspected Ovarian Cancer |
| title_full | Pelvic Tuberculosis Diagnosed during Operative Laparoscopy for Suspected Ovarian Cancer |
| title_fullStr | Pelvic Tuberculosis Diagnosed during Operative Laparoscopy for Suspected Ovarian Cancer |
| title_full_unstemmed | Pelvic Tuberculosis Diagnosed during Operative Laparoscopy for Suspected Ovarian Cancer |
| title_short | Pelvic Tuberculosis Diagnosed during Operative Laparoscopy for Suspected Ovarian Cancer |
| title_sort | pelvic tuberculosis diagnosed during operative laparoscopy for suspected ovarian cancer |
| url | http://dx.doi.org/10.1155/2018/6452721 |
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