IMR Press / EJGO / Volume 30 / Issue 4 / pii/2009104

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement with S.O.G.

Open Access Original Research

Peritoneal tuberculosis mimicking peritoneal carcinomatosis

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1 Department of Obstetrics and Gynecology, Uludag University Medical Faculty, Bursa (Turkey)
Eur. J. Gynaecol. Oncol. 2009, 30(4), 426–430;
Published: 10 August 2009
Abstract

Purpose: The data of 11 peritoneal tuberculosis (TB) patients is discussed in an attempt to better understand this disease. Methods: Nine patients with clinical features mimicking ovarian cancer and two with infertility were evaluated retrospectively. Results: The mean age was 40.8 ± 18.3 years. None had any past/family history of TB. Abdominal swelling and pain, appetite loss, nausea/vomiting, and primary infertility were the most common complaints. Chest X-ray suggested TB in one cachexic patient. Six patients had ovarian/primary peritoneal cancer on laparotomy. Laparoscopy was performed to determine therapeutic modality in one patient and for primary infertility in one patient. Three patients were not operated because of suspected TB in one and neoadjuvant chemotherapy in two with poor performance scores. They underwent peritoneal or omental biopsies; histopathology revealed caseous granulomatous TB lesions. Mycobacterium tuberculosis was identified in only two ascitic fluid cultures. Conclusion: Peritoneal TB should be suspected in endemic areas, especially in young patients considered to have peritoneal carcinomatosis.

Keywords
Peritoneal tuberculosis
Peritoneal carcinoma
Ovarian carcinoma
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