Takeshima F, Hamabe S, Yamasa T, Hiratani K, Hayashi T, Kohno S, Yamaguchi K, Hirota M, Hara K, Matsumoto T
Kekkaku. 1989 Jan;64(1):25-30.
We had recently experienced two cases of tuberculous peritonitis. One was suspected of ovarian cancer but finally diagnosed as tuberculosis by the exploratory laparotomy. The other was found out casually at the operation of benign ovarian tumor. Both cases accompanied with pulmonary tuberculosis. Tuberculous peritonitis should be considered in the differential diagnosis in patients with abdominal disorders. Remarkable elevation of serum CA-125 related to ovarian cancer was found in both cases. It was suggested that level of serum CA-125 might be useful for diagnosis and monitoring of the disease.
我们最近遇到了两例结核性腹膜炎。一例最初怀疑为卵巢癌，但最终通过剖腹探查术诊断为结核病。另一例是在良性卵巢肿瘤手术时偶然发现的。两例均伴有肺结核。对于有腹部疾病的患者，鉴别诊断时应考虑结核性腹膜炎。两例患者血清CA - 125均显著升高，这与卵巢癌有关。提示血清CA - 125水平可能对该疾病的诊断和监测有帮助。
