<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0871-3413</journal-id>
<journal-title><![CDATA[Arquivos de Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[Arq Med]]></abbrev-journal-title>
<issn>0871-3413</issn>
<publisher>
<publisher-name><![CDATA[ArquiMed - Edições Científicas AEFMUP ]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0871-34132008000200003</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Pelvic Tuberculosis The Great Simulator of Gynaecologic Malignancies]]></article-title>
<article-title xml:lang="pt"><![CDATA[Tuberculose Pélvica]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pina]]></surname>
<given-names><![CDATA[Carla]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Teixeira]]></surname>
<given-names><![CDATA[Marcília]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cruz]]></surname>
<given-names><![CDATA[Diana]]></given-names>
</name>
<xref ref-type="aff" rid="A02"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferreira]]></surname>
<given-names><![CDATA[Eduardo]]></given-names>
</name>
<xref ref-type="aff" rid="A03"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Mesquita]]></surname>
<given-names><![CDATA[Mari]]></given-names>
</name>
<xref ref-type="aff" rid="A02"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torgal]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="A01"/>
</contrib>
</contrib-group>
<aff id="A01">
<institution><![CDATA[,Centro Hospitalar Tâmega e Sousa Departamento de Ginecologia ]]></institution>
<addr-line><![CDATA[Penae ]]></addr-line>
</aff>
<aff id="A03">
<institution><![CDATA[,Centro Hospitalar Tâmega e Sousa Departamento de Medicina Interna ]]></institution>
<addr-line><![CDATA[Penael ]]></addr-line>
</aff>
<aff id="A02">
<institution><![CDATA[,Laboratório de Anatomia Patológica Dr. Eduardo Ferreira  ]]></institution>
<addr-line><![CDATA[Porto ]]></addr-line>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2008</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2008</year>
</pub-date>
<volume>22</volume>
<numero>2-3</numero>
<fpage>45</fpage>
<lpage>48</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S0871-34132008000200003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S0871-34132008000200003&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S0871-34132008000200003&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Pelvic tuberculosis remains a global health problem, primarily in developing countries where insuf&#64257;cient health services and high human immunode&#64257;ciency virus prevalence have increased the burden of disease. Diagnosis of extra pulmonary tuberculosis is often dif&#64257;cult, because of its unspeci&#64257;c clinical, laboratory and radiological &#64257;ndings.The authors present two clinical cases of pelvic tuberculosis. The clinical, pathological and diagnostic features of this unusual disease are reviewed.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[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.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[pelvic tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[adnexal mass]]></kwd>
<kwd lng="en"><![CDATA[ovarian cancer]]></kwd>
<kwd lng="en"><![CDATA[CA 125]]></kwd>
<kwd lng="en"><![CDATA[adenosine deaminase (ADA)]]></kwd>
<kwd lng="pt"><![CDATA[tuberculose pélvica]]></kwd>
<kwd lng="pt"><![CDATA[tumefacção anexial]]></kwd>
<kwd lng="pt"><![CDATA[carcinoma do ovário]]></kwd>
<kwd lng="pt"><![CDATA[CA 125]]></kwd>
<kwd lng="pt"><![CDATA[adenosina deaminase (ADA)]]></kwd>
</kwd-group>
</article-meta>
</front><body><![CDATA[ <P   align="justify" ></B><B>Pelvic Tuberculosis </b > </P >     <p   align="justify" ><b>The Great Simulator of Gynaecologic Malignancies </b></p >     <P   align="justify" >Carla Pina*, Marc&iacute;lia Teixeira*, Diana Cruz&dagger;&#8224;, Eduardo Ferreira&#8225;,    , Mari Mesquita&#8224;&dagger;, Ana Torgal* </P >     <P   align="justify" ><I>*Departamento de Ginecologia, Centro Hospitalar T&acirc;mega e Sousa, EPE,    Pena&#64257;el; &dagger;&#8224; Departamento de Medicina Interna, Centro Hospitalar    T&acirc;mega e Sousa, EPE, Pena&#64257;el; &#8225; Laborat&oacute;rio de Anatomia    Patol&oacute;gica Dr. Eduardo Fer</I><I>reira, Porto </I></P >     <P   align="justify" >&nbsp;</P >     <P   >Pelvic tuberculosis remains a global health problem, primarily in developing    countries where insuf&#64257;cient health services and high human immunode&#64257;ciency    virus prevalence have increased the burden of disease. Diagnosis of extra pulmonary    tuberculosis is often dif&#64257;cult, because of its unspeci&#64257;c clinical,    laboratory and radiological &#64257;ndings.The authors present two clinical    cases of pelvic tuberculosis. The clinical, pathological and diagnostic features    of this unusual disease are reviewed. </P >     <P   ><B>Key-words: </B>pelvic tuberculosis; adnexal mass; ovarian cancer; CA 125;    adenosine deaminase (ADA). </P >     <P   >&nbsp;</P >          <P   ><b>Tuberculose P&eacute;lvica</b></P >     <P   >A tuberculose constitui um problema mundial de sa&uacute;de p&uacute;blica, sobretudo    nos pa&iacute;ses subdesenvolvidos, particularmente pela car&ecirc;ncia dos    servi&ccedil;os m&eacute;dicos e pela elevada preval&ecirc;ncia da infec&ccedil;&atilde;o    pelo v&iacute;rus da imunodefici&ecirc;ncia humana. O diagn&oacute;stico de    tuberculose extra-pulmonar &eacute; dif&iacute;cil de estabelecer atendendo    aos achados cl&iacute;nicos, laboratoriais e imagiol&oacute;gicos inespec&iacute;ficos.    Os autores apresentam dois casos cl&iacute;nicos de tuberculose p&eacute;lvica    e efectuam uma revis&atilde;o dos aspectos cl&iacute;nicos, patol&oacute;gicos    e diagn&oacute;sticos desta rara entidade cl&iacute;nica. </P >     ]]></body>
<body><![CDATA[<P   ><strong>Palavras-chave: </strong>tuberculose p&eacute;lvica; tumefac&ccedil;&atilde;o    anexial; carcinoma do ov&aacute;rio; CA 125; adenosina deaminase (ADA).</P >     <P   >&nbsp;</P >     <P   >&nbsp;</P >     <P   >Full text only available in PDF format.</P >     <P   >Texto completo dispon&iacute;vel apenas em PDF.</P >     <p>&nbsp;</p>     <P   >&nbsp;</P >         <p   align="justify" ><B>REFERENCES</b> </p >           <!-- ref --><P   align="justify" >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. </P >           &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;[&#160;<a href="javascript:void(0);" onclick="javascript: window.open('/scielo.php?script=sci_nlinks&ref=000021&pid=S0871-3413200800020000300001&lng=','','width=640,height=500,resizable=yes,scrollbars=1,menubar=yes,');">Links</a>&#160;]<!-- end-ref --><P   align="justify" >2 -Irvin WR Jr, Rice LW, Andersen WA. Abdominal tuberculosis mimicking metastatic ovarian carcinoma. Obstet Gynecol 1998;92:709. </P >     ]]></body>
<body><![CDATA[<P   align="justify" >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.  </P >     <P   align="justify" >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.  </P >     <P   align="justify" >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. </P >     <P   >6 -Sinha S, Chidamberan-Pillai S. Pelvic tuberculosis: an uncommon gynaecological    problem presenting as ovarian mass. BJOG 2000;107:139-40. </P >     <P   >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.  </P >     <P   >&nbsp;</P >     <P   ><B>Correspondence: </B></P >     <P   >Dr.&ordf; Carla Pina </P >     <P   >Departamento de Ginecologia </P >     <P   >Centro Hospitalar T&acirc;mega e Sousa, EPE </P >     ]]></body>
<body><![CDATA[<P   >4564-007 Pena&#64257;el </P >     <P   >e-mail: <a href="mailto:carlampina@gmail.com">carlampina@gmail.com</a></P >      ]]></body><back>
<ref-list>
<ref id="B1">
<nlm-citation citation-type="journal">
<person-group person-group-type="author">
<name>
<surname><![CDATA[Uzunkoy]]></surname>
<given-names><![CDATA[A]]></given-names>
</name>
<name>
<surname><![CDATA[Harma]]></surname>
<given-names><![CDATA[M]]></given-names>
</name>
<name>
<surname><![CDATA[Harma]]></surname>
<given-names><![CDATA[M.]]></given-names>
</name>
</person-group>
<article-title xml:lang="en"><![CDATA[Diagnosis of abdominal tuberculosis: experience from 11 cases and review of the literature]]></article-title>
<source><![CDATA[World J Gastroenterol]]></source>
<year>2004</year>
<volume>10</volume>
<page-range>3647-9</page-range></nlm-citation>
</ref>
</ref-list>
</back>
</article>
