以腹腔结核为表现的腹膜结核误诊为卵巢癌 26 例回顾性研究。
Abdomino-peritoneal tuberculosis masquerading as ovarian cancer: a retrospective study of 26 cases.
机构信息
Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, India.
出版信息
Arch Gynecol Obstet. 2010 Dec;282(6):643-8. doi: 10.1007/s00404-009-1295-6. Epub 2009 Dec 1.
PURPOSE
Evaluation of clinical, laboratory, and operative findings in women of abdomino-pelvic tuberculosis undergoing laparotomy for suspected ovarian cancer.
METHODS
A retrospective analysis of 26 women who underwent laparotomy for ovarian cancer and found to have abdomino-pelvic tuberculosis in three hospitals of Delhi.
RESULTS
The mean age was 34.65 years. Symptoms were menstrual dysfunction in 12 (46.2%), abdominal distension (8 women, 30.7%), abdominal pain (26 women, 100%), abdominal mass (5 women, 19.2%). Mean and standard deviation (SD) of Ca-125 levels were 594.22 ± 770.07. The mean ± SD of right and left tubovarian mass being 5.82 ± 3.94 cm and 5.81 ± 3.21 cm, respectively. Abdominal hysterectomy was done in 4 (15.4%) cases, right ovariotomy in 5 (19.2%), left Ovariotomy in 6 (23.1%), biopsies from right ovary 11 (42.3%), left ovary 7 (26.9%), omentum 10 (38.5%), peritoneum in 15 (57.7%). Tuberculous granuloma and AFB stain on histopathology were observed in all cases.
CONCLUSION
Peritoneal tuberculosis with abdomino-pelvic masses was difficult to differentiate from ovarian cancer. Antitubercular drugs are the treatment of choice and complete surgery being difficult and hazardous should be avoided.
目的
评估因疑似卵巢癌而行剖腹术的女性的临床、实验室和手术结果，这些女性患有腹盆腔结核。
方法
对德里三家医院因卵巢癌而行剖腹术但发现腹盆腔结核的 26 名女性进行回顾性分析。
结果
平均年龄为 34.65 岁。症状包括月经功能障碍 12 例（46.2%）、腹胀（8 例，30.7%）、腹痛（26 例，100%）、腹部肿块（5 例，19.2%）。CA-125 水平的平均值和标准差分别为 594.22 ± 770.07。右、左输卵管卵巢肿块的平均值和标准差分别为 5.82 ± 3.94 cm 和 5.81 ± 3.21 cm。4 例（15.4%）行全子宫切除术，5 例（19.2%）行右侧卵巢切除术，6 例（23.1%）行左侧卵巢切除术，11 例（42.3%）行右侧卵巢活检，7 例（26.9%）行左侧卵巢活检，10 例（38.5%）行网膜活检，15 例（57.7%）行腹膜活检。所有病例均观察到结核性肉芽肿和 AFB 染色。
结论
伴腹盆腔肿块的腹膜结核与卵巢癌难以区分。抗结核药物是首选治疗方法，由于手术困难且有危险，应避免完全手术。
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