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Case Reports
. 2014 Feb;19(2):184-9.

Female genital tract tuberculosis presenting as ovarian cancer

Malihe Hasanzadeh  1 , Hamid Reza Naderi  2 , Azamossadat Hoseine Hoshyar  3 , Shima Shabane  4 , Soodabeh Shahidsales  5
Affiliations
Case Reports

Female genital tract tuberculosis presenting as ovarian cancer

Malihe Hasanzadeh et al. J Res Med Sci. 2014 Feb.

Abstract

Background: Tuberculosis (TB) is still a major worldwide concern. There is no pathognomonic clinical feature or imaging findings for definite diagnosis of extra pulmonary TB. Therefore, TB involvement of Gastrointestinal or Genitourinary tract can be easily confused with peritoneal carcinomatosis and advanced ovarian carcinoma. Our aim is to emphasize the importance of considering the disease based upon the epidemiologic clues of the patients, while interpreting the positive results for a suspicious ovarian malignancy.

Cases: This paper illustrates 8 cases of ovarian or peritoneal tuberculosis, whose initial diagnoses were malignant processes of the GU tract.

Conclusion: Tuberculosis (TB) should be always being considered in the differential diagnosis of advanced ovarian cancer, especially in the regions that are endemic for the disease.

Keywords: Ovarian cancer; peritoneal tuberculosis; tuberculosis.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Fibro connective tissue with granulomatous inflammation (note the epithelioid [thin arrow] and multinucleated Langhans-type giant cells [white arrows] — H and E stain ×400)
Figure 2
Figure 2
Large and heterogeneous ovaries, ascites and peritoneal seeding
Figure 3
Figure 3
Miliary micro nodules (white arrows) all over the peritoneal cavity, the ovary and uterus and the other abdominal organs
See this image and copyright information in PMC

References

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