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Volume 77
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10.5603/ARM.27792
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Advances in Respiratory Medicine is published by MDPI from Volume 90 Issue 4 (2022). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with Via Medica.
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Case Report

Peritoneal Tuberculosis Mimicking Ovarian Cancer—Diagnostic Difficulties. A Report of Two Cases

by
Jacek Zamłyński
1,*,
Anita Olejek
1,
Ewa Oleś
1,
Katarzyna Stęplewska
2,
Andrzej Krzywiecki
3,
Grażyna Myrcik
2,
Piotr Bodzek
1,
Marta Paliga-Żytniewska
1 and
Alicja Gajewska
1
1
Department of Gynecology, Obstetrics and Gynecological Oncology, Medical University of Silesia in Bytom, Batorego 15, 41-902 Bytom, Poland
2
Department of Patomorphology, Medical University of Silesia in Zabrze, Zabrze, Poland
3
Department of Pulmonology and Phthisiotherapy, Medical University of Silesia in Katowice, Katowice, Poland
*
Author to whom correspondence should be addressed.
Adv. Respir. Med. 2009, 77(4), 422-427; https://doi.org/10.5603/ARM.27792
Submission received: 16 February 2009 / Revised: 26 June 2009 / Accepted: 26 June 2009 / Published: 26 June 2009

Abstract

Tuberculosis, and particularly its extrapulmonary location, still causes diagnostic difficulties. In 2007, 7.3% of newly registered cases of tuberculosis in Poland were located extrapulmonarily. Peritoneal tuberculosis is often misdiagnosed as ovarian cancer due to similar symptoms such as: abdominal pain, abdominopelvic masses, ascites and elevated CA-125 serum concentration. We present reports of two patients with suspected ovarian cancer at admission. The patients’ complaints, as well as elevated serum levels of CA-125, suggested ovarian cancer. Chest X-rays showed a normal picture in one case and minimal fibrotic changes in the other. The results of additional tests were uncharacteristic. Based on the data obtained by diagnostic laparoscopy, observed clinical symptoms and the intraoperative picture, which all suggested ovarian cancer, a resection (total abdominal hysterectomy and bilateral salpingo-oophorectomy) was performed in both cases. Histological evaluation of biopsy specimens revealed peritoneal tuberculosis in both cases.
Keywords: ovarian cancer; peritoneal tuberculosis; differential diagnosis ovarian cancer; peritoneal tuberculosis; differential diagnosis

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MDPI and ACS Style

Zamłyński, J.; Olejek, A.; Oleś, E.; Stęplewska, K.; Krzywiecki, A.; Myrcik, G.; Bodzek, P.; Paliga-Żytniewska, M.; Gajewska, A. Peritoneal Tuberculosis Mimicking Ovarian Cancer—Diagnostic Difficulties. A Report of Two Cases. Adv. Respir. Med. 2009, 77, 422-427. https://doi.org/10.5603/ARM.27792

AMA Style

Zamłyński J, Olejek A, Oleś E, Stęplewska K, Krzywiecki A, Myrcik G, Bodzek P, Paliga-Żytniewska M, Gajewska A. Peritoneal Tuberculosis Mimicking Ovarian Cancer—Diagnostic Difficulties. A Report of Two Cases. Advances in Respiratory Medicine. 2009; 77(4):422-427. https://doi.org/10.5603/ARM.27792

Chicago/Turabian Style

Zamłyński, Jacek, Anita Olejek, Ewa Oleś, Katarzyna Stęplewska, Andrzej Krzywiecki, Grażyna Myrcik, Piotr Bodzek, Marta Paliga-Żytniewska, and Alicja Gajewska. 2009. "Peritoneal Tuberculosis Mimicking Ovarian Cancer—Diagnostic Difficulties. A Report of Two Cases" Advances in Respiratory Medicine 77, no. 4: 422-427. https://doi.org/10.5603/ARM.27792

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