Nebhani M, Boumzgou K, Brams S, Laghzaoui M, El Attar H, Bouhya S, Aderdour M-A, Iraqi M
Service de Gynécologie Obstétrique A, CHU Ibn Rochd, Casablanca, Maroc.
J Gynecol Obstet Biol Reprod (Paris). 2004 Apr;33(2):145-7. doi: 10.1016/s0368-2315(04)96414-9.
Tuberculosis is a curable infectious disease which can mimic ovarian cancer. This case report illustrates that the association of a pelvic mass with elevated CA125 is not necessarily suggestive of ovarian malignancy. A 22-Year-old woman presenting with bilateral ovarian masses and an elevated CA 125 underwent an exploratory laparotomy to search for ovarian tumor. The final pathology diagnosis was ovarian tuberculosis without pulmonary involvement. Tuberculosis is a differential diagnosis to consider in patients with a pelvic mass because of the lack of pathognomonic clinical and biological signs.
结核病是一种可治愈的传染病,它可能会与卵巢癌表现相似。本病例报告表明,盆腔肿块伴CA125升高并不一定提示卵巢恶性肿瘤。一名22岁女性因双侧卵巢肿块和CA125升高接受了剖腹探查术以寻找卵巢肿瘤。最终病理诊断为卵巢结核,无肺部受累。由于缺乏特异性的临床和生物学体征,结核病是盆腔肿块患者需要考虑的鉴别诊断之一。