Ayşe GÜRBÜZ, Ateş KARATEKE, Canan KABACA, Elçin ÇETİNGÖZ, Karsel ERTEKİN

İleri evre over kanserini taklit eden tüberküloz peritonit vakaları: Olgu sunumu

Tüberküloz (Tbc); gelişmiş ülkelerde sıklığı giderek azalsa, da, Türkiye gibi gelişmekte olan ülkelerde halen görülmektedir.Zeynep Kamil Kadın ve Çocuk Hastalıkları Eğitim ve Araştırma Hastanesine başvuran; pelvik kitle, kilo kaybı, yüksek CA-125 seviyesi, asit ve plevral effüzyon gibi bulgular saptanan ve over kanseri öntanısıyla laparatomi yapılan üç olguda, tbc peritonit saptanmıştır. Tüberkülozun endemik olduğu bölgelerde; pelvik kitle ve yüksek CA-125 seviyesi bulunan olgularda over kanseri yanında tbc peritonit de akla gelmeli ve histopatolojik inceleme ile tanı doğrulanmahdır.

Anahtar Kelimeler:

Yumurtalık neoplazmları, Peritonit, tüberküloz, CA-125 antijen

Peritoneal tuberculosis mimicking advanced ovarian cancer (case report)

Tuberculosis (tbc) continues to be endemic in the developing countries like Turkey. In Zeynep Kamil Hospital; three cases of tbc peritonitis were presented with pelvik mass, elevation of CA-125 levels, weight loss, ascites and plevral effusion. We made laparotomy in these cases with suspicion of ovarian cancer. During laparatomy, frozen section analysis suggested tb peritonitis. For this reason, we should suspect tbc peritonitis in cases with pelvic mass and elevated CA-125 level especially in endemic areas and we should confirm this histologically.

Keywords:

Ovarian Neoplasms, Peritonitis, Tuberculous, CA-125 Antigen,

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