Abstract:

Pelvic tuberculosis is a form of female pelvic inflammation caused by Mycobacterium tuberculosis, which is a common cause of chronic pelvic inflammation and infertility. The characteristics of abdominal and pelvic blunt pain and abdominal distension caused by pelvic tuberculosis are similar to those of advanced epithelial ovarian cancer. And there are no specific clinical or imaging manifestations of extrapulmonary tuberculosis. The above reasons lead to pelvic peritoneal tuberculosis easily confused with peritoneal carcinoma and advanced epithelial ovarian cancer. In this paper, we analyzed a case of advanced epithelial ovarian cancer. Because no tumor cells were found in ovarian space lesion tissue puncture pathology and ascites exfoliative cytology, examination of tuberculosis was performed. The patient was misdiagnosed as pelvic tuberculosis based on positive tuberculin test and Mycobacterium tuberculosis interferon-γ, but later pathology confirmed the presence of epithelial ovarian cancer. We summarized the diagnosis and treatment process of this case in order to accumulate experiences for the clinical diagnosis and treatment of advanced epithelial ovarian cancer and pelvic tuberculosis.

Key words: Ovarian neoplasms, Pelvic inflammatory disease, Tuberculosis, Diagnostic errors, Diagnosis, differential, Case reports