Zamłyński Jacek, Olejek Anita, Oleś Ewa, Steplewska Katarzyna, Krzywiecki Andrzej, Myrcik Grazyna, Bodzek Piotr, Paliga-Zytniewska Marta, Gajewska Alicja
Klinika Ginekologii, Połoznictwa i Ginekologii Onkologicznej Slaskiego Uniwersytetu Medycznego w Bytomiu.
Pneumonol Alergol Pol. 2009;77(4):422-8.
Tuberculosis, and specially its extrapulmonary location still causes diagnostic difficulties. In 2007, in Poland 7.3% of newly registered cases of tuberculosis in Poland were located extrapulmonary. Peritoneal tuberculosis is often wrongly diagnosed as an ovarian cancer, it is due to similar symptoms like abdominal pain, abdominopelvic masses, ascites and elevated serum CA-125. Two patients who were admitted to our department with suspicion of ovarian cancer are presented. Subjective symptoms suggested the ovarian cancer, elevated levels of CA-125, chest x-rays without abnormal findings or with minimal fibrotic changes and uncharacteristic results of additional investigations were disclosed. A diagnostic laparoscopy was made to establish the diagnosis. Because of clinical and operative picture suggesting ovarian cancer in both cases resections were performed. The procedure consisted of total abdominal hysterectomy and bilateral salpingo-oophorectomy. Biopsy specimens were taken up and verified histopathologically. The peritoneal tuberculosis was recognized in both cases.
结核病，尤其是肺外结核，仍然会造成诊断困难。2007年，波兰新登记的结核病病例中有7.3%为肺外结核。腹膜结核常被误诊为卵巢癌，这是因为它与卵巢癌有相似症状，如腹痛、腹盆腔肿块、腹水以及血清CA-125升高。本文介绍了两名因疑似卵巢癌而入住我科的患者。主观症状提示为卵巢癌，CA-125水平升高，胸部X光检查无异常发现或仅有轻微纤维化改变，其他检查结果也不典型。为明确诊断进行了诊断性腹腔镜检查。由于两例患者的临床和手术表现均提示为卵巢癌，因此进行了手术切除。手术包括全腹子宫切除术和双侧输卵管卵巢切除术。采集活检标本并进行组织病理学检查。两例均确诊为腹膜结核。
