Yassaee Fakhrolmolouk, Farzaneh Farah
Infertility and Reproductive Health Research Center, Taleghani Hospital, Medical University of Shahid Beheshti, Tehran 1985717443, Iran.
Infect Dis Obstet Gynecol. 2009;2009:736018. doi: 10.1155/2009/736018. Epub 2009 Dec 21.
Genital TB may present as on abdominopelvic mass mimicking ovarian malignancy because clinical and laboratory findings are similar. Family history is very important and should be considered for differential diagnosis. Three cases of genital TB with presentation of abdominopelvic masses and with no signs and symptoms of TB were presented. Two of them had positive family history of pulmonary TB. Tissue diagnosis was the best method for diagnosis of genital TB, but it should be reminded that if positive family history of TB was present, mini laparotomy should be done to take biopsy and to make rapid diagnosis before treatment.
生殖器结核可能表现为类似卵巢恶性肿瘤的腹盆腔肿块,因为临床和实验室检查结果相似。家族史非常重要,在鉴别诊断时应予以考虑。本文报告了3例表现为腹盆腔肿块且无结核病体征和症状的生殖器结核病例。其中2例有肺结核家族史。组织诊断是生殖器结核诊断的最佳方法,但应提醒的是,如果存在结核病家族史阳性,应进行迷你剖腹术以获取活检组织,并在治疗前快速做出诊断。