Related Experiment Videos
Disseminated peritoneal tuberculosis mimicking advanced-stage endodermal sinus tumor: a case report
P Dursun1, S Ersoz, M Gultekin
1Department of Obstetrics and Gynecology, Faculty of Medicine, Hacettepe University, Ankara, Turkey. pdursun@ttnet.net.tr
Summary
Disseminated peritoneal tuberculosis can mimic ovarian cancer, leading to misdiagnosis. This case highlights tuberculosis mimicking endodermal sinus tumor, emphasizing careful investigation of elevated tumor markers, especially in young women.
Area of Science:
- Oncology
- Infectious Diseases
- Pathology
Background:
- Peritoneal tuberculosis (TB) can present with symptoms and imaging findings similar to advanced epithelial ovarian carcinoma.
- Disseminated peritoneal TB mimicking advanced-stage endodermal sinus tumor (ESS) has not been previously reported.
Observation:
- An 18-year-old woman presented with pelvic pain and weight loss, exhibiting peritoneal implants and an adnexial mass on imaging.
- Elevated CA125 and alpha-fetoprotein levels initially suggested ESS, but intraoperative findings revealed caseous necrosis consistent with disseminated peritoneal TB.
Findings:
- The patient was diagnosed with disseminated peritoneal tuberculosis, not ESS.
- Widespread hepatic involvement of TB led to hepatic failure and the need for liver transplantation two months post-exploration.
Implications:
- Concomitant peritoneal and hepatic TB can cause false elevations in gynecological tumor markers, potentially leading to misdiagnosis and mismanagement.
- Elevated tumor markers, particularly in premenopausal women, warrant thorough investigation to rule out infectious etiologies like TB.
Related Concept Videos
01:31Pulmonary Tuberculosis III
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
01:26Pulmonary Tuberculosis IV
Tuberculosis, more commonly referred to as TB, is an infectious disease stemming from Mycobacterium tuberculosis. While it primarily impacts the lungs, TB can also affect other body areas. Given its severity and global impact, timely and accurate diagnosis is crucial for controlling its spread and improving patient outcomes.
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
Several diagnostic approaches are used to detect TB. The conventional method is the Tuberculin Skin Test (TST), also known as the Mantoux test. However, this method has...
01:28Pulmonary Tuberculosis II
Tuberculosis, or TB, is a bacterial infectious disease caused by Mycobacterium tuberculosis. While its primary impact is on the lungs, leading to pulmonary tuberculosis, it can also affect various other organs, a condition referred to as extrapulmonary tuberculosis.
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...
Here is a detailed explanation of its pathophysiology:
Transmission: The process begins when a person inhales droplet nuclei containing M. tuberculosis. These are typically released into the air when an individual with pulmonary or...