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Arquivos de Medicina

On-line version ISSN 2183-2447

Arq Med vol.22 no.2-3 Porto  2008

 

Pelvic Tuberculosis

The Great Simulator of Gynaecologic Malignancies

Carla Pina*, Marcília Teixeira*, Diana Cruz††, Eduardo Ferreira‡, , Mari Mesquita††, Ana Torgal*

*Departamento de Ginecologia, Centro Hospitalar Tâmega e Sousa, EPE, Penafiel; †† Departamento de Medicina Interna, Centro Hospitalar Tâmega e Sousa, EPE, Penafiel; ‡ Laboratório de Anatomia Patológica Dr. Eduardo Ferreira, Porto

 

Pelvic tuberculosis remains a global health problem, primarily in developing countries where insufficient health services and high human immunodeficiency virus prevalence have increased the burden of disease. Diagnosis of extra pulmonary tuberculosis is often difficult, because of its unspecific clinical, laboratory and radiological findings.The authors present two clinical cases of pelvic tuberculosis. The clinical, pathological and diagnostic features of this unusual disease are reviewed.

Key-words: pelvic tuberculosis; adnexal mass; ovarian cancer; CA 125; adenosine deaminase (ADA).

 

Tuberculose Pélvica

A tuberculose constitui um problema mundial de saúde pública, sobretudo nos países subdesenvolvidos, particularmente pela carência dos serviços médicos e pela elevada prevalência da infecção pelo vírus da imunodeficiência humana. O diagnóstico de tuberculose extra-pulmonar é difícil de estabelecer atendendo aos achados clínicos, laboratoriais e imagiológicos inespecíficos. Os autores apresentam dois casos clínicos de tuberculose pélvica e efectuam uma revisão dos aspectos clínicos, patológicos e diagnósticos desta rara entidade clínica.

Palavras-chave: tuberculose pélvica; tumefacção anexial; carcinoma do ovário; CA 125; adenosina deaminase (ADA).

 

 

Full text only available in PDF format.

Texto completo disponível apenas em PDF.

 

 

REFERENCES

1 -Uzunkoy A, Harma M,Harma M. Diagnosis of abdominal tuberculosis: experience from 11 cases and review of the literature. World J Gastroenterol 2004;10:3647-9.

        [ Links ]

2 -Irvin WR Jr, Rice LW, Andersen WA. Abdominal tuberculosis mimicking metastatic ovarian carcinoma. Obstet Gynecol 1998;92:709.

3 -Hassoun A, Jacquette G, Huang A, Anderson A, Smith MA. Female genital tuberculosis: uncommon presentation of tuberculosis in the United States. Am J Med 2005;118:1295-9.

4 -Chavhan GB, Hira P, Rathod K, Zacharia TT, Chawala A, Badhe P, Parmar H. Female genital tuberculosis: hysterosalpingographic appearances. Br J Radiol 2004;77:164-9.

5 -Ilhan AH, Durmusoglu F. Case report of a pelvic-peritoneal tuberculosis presenting as an adnexal mass and mimicking ovarian cancer, and a review of the literature. Infect Dis Obstet Gynecol 2004;12:87-9.

6 -Sinha S, Chidamberan-Pillai S. Pelvic tuberculosis: an uncommon gynaecological problem presenting as ovarian mass. BJOG 2000;107:139-40.

7 -Wehner JH, Bruyne K, Kagawa FT, Campagna AC, Jensen WA, Kirsch CM, Eng RS. Pulmonary tuberculosis, amenorrhea and a pelvic mass. West J Med 1994;161:515-18.

 

Correspondence:

Dr.ª Carla Pina

Departamento de Ginecologia

Centro Hospitalar Tâmega e Sousa, EPE

4564-007 Penafiel

e-mail: carlampina@gmail.com

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