دورية أكاديمية
Peri and post-menopausal women with complex adnexal masses, ascites, and raised CA-125: Is it ovarian cancer or tuberculosis?
| العنوان: | Peri and post-menopausal women with complex adnexal masses, ascites, and raised CA-125: Is it ovarian cancer or tuberculosis? |
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| المؤلفون: | Rashmi Bagga, Tanuja Muthyala, Subhas Chandra Saha, Shalini Gainder, Pradip Kumar Saha, Radhika Srinivasan, Arvind Rajwanshi, Nalini Gupta |
| المصدر: | Journal of Mid-Life Health, Vol 7, Iss 4, Pp 193-196 (2016) |
| بيانات النشر: | Wolters Kluwer Medknow Publications, 2016. |
| سنة النشر: | 2016 |
| المجموعة: | LCC:Gynecology and obstetrics LCC:Geriatrics |
| مصطلحات موضوعية: | Laparotomy, ovarian malignancy, pelvic-peritoneal tuberculosis, Gynecology and obstetrics, RG1-991, Geriatrics, RC952-954.6 |
| الوصف: | Pelvic and peritoneal tuberculosis may resemble advanced ovarian cancer due to the presence of ascites, complex adnexal masses, peritoneal deposits and raised CA-125 level, especially in peri- and postmenopausal women. Other common features among women with these two conditions are abdominal pain and distension, weight loss and reduced appetite. As the treatment of pelvic-peritoneal tuberculosis is completely different from that of ovarian cancer, it is important to reach a correct diagnosis. Sometimes women with pelvic-peritoneal tuberculosis may be subjected to a laparotomy for suspected ovarian cancer which is likely to increase their morbidity. In the present article, we report ten women in the peri- and post-menopausal age group where this diagnostic dilemma arose of whom seven were diagnosed only after a laparotomy had been performed for suspected ovarian cancer due to adnexal masses with ascites and raised CA-125 level. Ascitic fluid showing lymphocytic predominance, raised ADA level and absence of malignant cells are pointers to consider the possibility of pelvic- peritoneal tuberculosis, especially in endemic countries like India. In such situations, an effort should be made to obtain a cytological or histopathological diagnosis of either condition by ultrasound guided needle biopsy or laparoscopically obtained biopsy rather that proceeding with laparotomy for suspected ovarian cancer. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 0976-7800 0976-7819 |
| العلاقة: | http://www.jmidlifehealth.org/article.asp?issn=0976-7800;year=2016;volume=7;issue=4;spage=193;epage=196;aulast=BaggaTest; https://doaj.org/toc/0976-7800Test; https://doaj.org/toc/0976-7819Test |
| DOI: | 10.4103/0976-7800.195700 |
| الوصول الحر: | https://doaj.org/article/8079e35f09a34c88aea3140b29e25e1cTest |
| رقم الانضمام: | edsdoj.8079e35f09a34c88aea3140b29e25e1c |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 09767800 09767819 |
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| DOI: | 10.4103/0976-7800.195700 |