AI Summary & Key Takeaways
AI InsightWhile the treatments of two situations are quite different, before considering radical surgery diagnosis should be confirmed by biopsy
📌 3 Key Takeaways
Abstract
In female patients, pelvic mass, ascites and presence of high levels of CA-125 is presumably considered to be ovarian cancer. However, sometimes peritoneal tuberculosis may be seen with similar signs and can be misdiagnosed as ovarian cancer. The patient, who is 40 years old, had attended our clinic with complaints of abdominal distension, fatigue and weight loss. During investigational studies she was found to have cystic mass in the left ovary. She also had diffuse ascites in abdomen and CA125 level was found to be high. Laparoscopy was performed and pathology findings were reported to be granulomatous inflammation suggestin tuberculosis. While the treatments of two situations are quite different, before considering radical surgery diagnosis should be confirmed by biopsy
Özet
Kadın hastalarda pelvik kitle, asit ve CA-125 yüksekliği bulguları varlığında over kanseri öncelikle düşünülür. Ancak, bazen peritoneal tüberküloz da benzer bulgular verebilir ve over kanseri ile karıştırılabilir. Kırk yaşında karnında şişkinlik, halsizlik ve kilo kaybı şikayetleri ile başvuran hastamızda yapılan değerlendirmede sol overde kistik kitle saptandı. Ayrıca, karında yaygın asit ve CA-125 yüksekliği bulunması üzerine laparoskopi yapıldı ve patolojisi kazeifiye granülomatöz iltihap olarak bildirildi. Tedavileri çok farklı olan bu iki klinik durumda radikal cerrahi düşünülmeden önce biyopsi ile tanı doğrulanmalıdır