Romaniuk Anatolii, Gyryavenko Nataliya, Lyndin Mykola, Romaniuk Sofiia, Starkiv Miroslav, Slobodyan Galina
Department of Pathology, Sumy State University , Sumy, Ukraine.
Internal Medicine Department of Postgraduation Education, Sumy State University , Sumy, Ukraine.
Interv Med Appl Sci. 2016 Sep;8(3):131-134. doi: 10.1556/1646.8.2016.3.2.
The objective of this study was to give an overview of a rare case of tuberculosis of the left fallopian tube in postmenopausal women. It is known that the isolated tuberculous salpingitis without spreading to the endometrium is extremely rare case. In our case, it simulated a cancer of appendages at the late stages that were proved by the increased level of CA-125. This fact as well as the macroscopic image of the left fallopian tube was incorrectly considered by the clinicians as a malignant neoplasm of fallopian tube. However, after pathomorphological examination of postoperative samples during histological study, the main method of verification of the diagnosis, revealed the specific granulomas in the samples that indicate the tubercular inflammation. It was considered by clinical and laboratory as data secondary focus.
本研究的目的是概述一例绝经后女性左输卵管结核的罕见病例。众所周知，孤立性结核性输卵管炎而未蔓延至子宫内膜是极为罕见的病例。在我们的病例中，晚期时它类似附件癌，CA - 125水平升高证实了这一点。临床医生错误地将这一情况以及左输卵管的宏观图像视为输卵管恶性肿瘤。然而，在组织学研究中对术后样本进行病理形态学检查（诊断验证的主要方法）后，样本中发现了特异性肉芽肿，提示为结核性炎症。临床和实验室将其视为继发性病灶。
