Department of Obstetrics & Gynaecology, All India Institute of Medical Sciences, Jodhpur, India.
J Obstet Gynaecol Res. 2020 Jun;46(6):945-949. doi: 10.1111/jog.14223. Epub 2020 Apr 3.
Tuberculosis is a disease prevalent all over the world with India contributing to a larger share. Pulmonary tuberculosis presents with generalized symptoms of malaise, low grade fever and cough. On the other hand, genital tuberculosis presents with a variety of symptoms in each age group and is often underdiagnosed and missed. In an unmarried female, the usual presentations are menstrual complaints or presence of a solid cystic mass and ascites. In reproductive age group, patients may present with primary or secondary infertility or rarely with tubo-ovarian masses with peritoneal deposits, omental thickening and lymph node enlargement, hence mimicking ovarian carcinoma. In postmenopausal females, it can present as postmenopausal bleeding, leucorrhea or pyometra giving suspicion of endometrial carcinoma. We hereby report two cases operated with provisional diagnosis of ovarian malignancy but final histopathology ruled out malignancy in first and confirmed coexistence of malignancy and tuberculosis in another.
结核病是一种在全球范围内流行的疾病，印度的发病率占比较大。肺结核的症状包括全身不适、低热和咳嗽等。而生殖器结核则在各个年龄段呈现出多种不同的症状，往往容易被误诊和漏诊。对于未婚女性，常见的表现是月经不调、囊性肿块和腹水。在育龄期，患者可能表现为原发性或继发性不孕，极少数情况下可能出现输卵管-卵巢肿块，并伴有腹膜沉积、网膜增厚和淋巴结肿大，从而类似于卵巢癌。对于绝经后的女性，可能表现为绝经后出血、白带增多或子宫积脓，这会使人怀疑是子宫内膜癌。在此，我们报告了两例经初步诊断为卵巢恶性肿瘤而接受手术的病例，但最终的组织病理学检查结果排除了第一例的恶性肿瘤，并证实了另一例同时存在恶性肿瘤和结核病。
