以原发性不孕和CA-125持续升高为表现的女性生殖器结核：一例报告
Female genital tuberculosis presented with primary infertility and persistent CA-125 elevation: A case report.
作者信息
Feng Qian, Hu Xiaoxia, Zhao Jing, Huang Jingyao, Liu Liling
机构信息
Department of Obstetrics and Gynaecology, Monash University, Melbourne, 3800, Australia.
Guangxi Academy of Medical Sciences & Department of Gynaecology, The People's Hospital of Guangxi Zhuang Autonomous Region, 530000, Nanning, China.
出版信息
Ann Med Surg (Lond). 2022 May 3;78:103683. doi: 10.1016/j.amsu.2022.103683. eCollection 2022 Jun.
INTRODUCTION
and importance: Tuberculosis is one of the leading causes of mortality in many developing countries. Female genital tuberculosis, a relatively uncommon form of tuberculosis, is critically challenging to diagnose due to its insidious and non-typical presentations.
CASE PRESENTATION
Herein, we present with an asymptomatic infertile woman with persistently high CA-125 passed undiagnosed until laparoscopy unveiled the diagnosis of TB.
CLINICAL DISCUSSION
In this study, we highlight the diagnostic complexities in female genital tuberculosis and demonstrate the value of the CA-125 increase in prompting the suspicion of tuberculosis in the appropriate clinical context.
CONCLUSION
Given the considerably large number of individuals with tuberculosis in China, we strongly recommend routine tuberculosis screening in women seeking infertility care in China.
引言
及重要性：结核病是许多发展中国家的主要死因之一。女性生殖器结核是一种相对不常见的结核病形式，因其隐匿性和非典型表现，诊断极具挑战性。
病例报告
在此，我们报告一名无症状的不孕女性，其CA - 125持续升高，一直未被诊断出来，直到腹腔镜检查才揭示出结核病的诊断。
临床讨论
在本研究中，我们强调了女性生殖器结核的诊断复杂性，并证明了在适当的临床背景下，CA - 125升高对提示结核病怀疑的价值。
结论
鉴于中国结核病患者数量众多，我们强烈建议在中国寻求不孕治疗的女性中进行常规结核病筛查。
Zotero 插件