2022, Number 09
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Ginecol Obstet Mex 2022; 90 (09)
Tuberculoma mimicking ovarian cancer
Caruso A, Rodríguez-Pérez A, Rojo-Novo S
Language: Spanish
References: 12
Page: 803-808
PDF size: 198.83 Kb.
ABSTRACT
Introduction: Tuberculosis remains a global public health problem: about a quarter
of the world's population is infected with the tuberculosis bacillus, but only 5-15%
will actually develop the disease. Despite efforts to control the infection, today it is the
leading cause of death from a single infectious agent. The extrapulmonary form is rare,
and the genital form usually manifests with sterility, in others it simulates advanced
ovarian cancer, including adnexal mass and ascites, weight loss and elevation of the
tumor marker Ca125. The pre-surgical differential diagnosis is complex, hence most
patients are indicated for unnecessary surgery.
Clinical case: A 29-year-old patient with a diagnosis of adnexal formation suspicious
for malignancy was treated conservatively until complete regression was achieved. In
addition, a review of the existing literature related to this rare entity was performed.
Conclusion: The conjunction of ascites, pelvic mass and elevated Ca125 marker
may correspond to the diagnosis of advanced ovarian cancer, without forgetting the
possibility of extraperitoneal tuberculosis in patients with a history of tuberculosis or
from endemic areas. Diagnosis is complex, especially due to the low incidence in our
environment, which often requires exploratory laparoscopy to confirm the origin of
the lesions.
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