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).

 

 

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REFERENCES

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Correspondence:

Dr.ª Carla Pina

Departamento de Ginecologia

Centro Hospitalar Tâmega e Sousa, EPE

4564-007 Penafiel

e-mail: carlampina@gmail.com