Endometrial Tuberculosis Simulating an Ovarian Cancer: a case report
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706 |
Resumo: | Female genital tuberculosis remains a major health problem in developing countries and is an important cause of infertility. As symptoms, laboratory data and physical findings are non-specific, its diagnosis can be difficult. We describe a case of a 39-year-old woman suffering from peri-umbilical pain and increased abdominal size for one year, anorexia, asthenia, weight loss, occasionally dysuria and dyspareunia, and four months amenorrhea. Laboratory data revealed cancer antigen 125 (CA-125) level of 132.3 U/mL, erythrocyte sedimentation rate of 42 mm/h, and gamma-globulins of 2.66 g/dL. Computed tomography scan showed loculated ascites. It was initially suspected a carcinomatous origin, but ascites evaluation was negative for malignant cells. Magnetic resonance imaging from another hospital showed endometrial heterogeneity. Therefore, an endometrial biopsy was performed demonstrating an inflammatory infiltrate with giant cells of type Langhans and bacteriological culture identified Mycobacterium tuberculosis. |
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Endometrial Tuberculosis Simulating an Ovarian Cancer: a case reportTuberculose Endometrial Simulando um Carcinoma do OvárioTuberculosisFemale GenitalEndometritisPeritonitisTuberculousOvarian Neoplasms.Tuberculose Genital FemininaEndometritePeritonite TuberculosaNeoplassia do Ovário.Female genital tuberculosis remains a major health problem in developing countries and is an important cause of infertility. As symptoms, laboratory data and physical findings are non-specific, its diagnosis can be difficult. We describe a case of a 39-year-old woman suffering from peri-umbilical pain and increased abdominal size for one year, anorexia, asthenia, weight loss, occasionally dysuria and dyspareunia, and four months amenorrhea. Laboratory data revealed cancer antigen 125 (CA-125) level of 132.3 U/mL, erythrocyte sedimentation rate of 42 mm/h, and gamma-globulins of 2.66 g/dL. Computed tomography scan showed loculated ascites. It was initially suspected a carcinomatous origin, but ascites evaluation was negative for malignant cells. Magnetic resonance imaging from another hospital showed endometrial heterogeneity. Therefore, an endometrial biopsy was performed demonstrating an inflammatory infiltrate with giant cells of type Langhans and bacteriological culture identified Mycobacterium tuberculosis.A tuberculose genital feminina continua a representar uma patologia importante nos países em desenvolvimento e constitui uma causa importante de infertilidade. Os seus sintomas, achados laboratoriais e exame físico não são específicos, tornando difícil o seu dia-gnóstico. Descrevemos o caso de uma doente do sexo feminino, de 39 anos, com dor peri-umbilical e aumento do volume abdominal desde há um ano, anorexia, astenia, perda ponderal, ocasionalmente disúria e dispareunia, assim como amenorreia desde há quatro meses. Os dados laboratoriais mostraram valores de 132,3 U/mL do marcador tumoral CA-125, 42 mm/h de velocidade de sedimentação e 2,66 g/dL de gama-globulinas. A tomografia computadorizada mostrou ascite loculada. Inicialmente suspeitou-se de etiologia maligna, mas o exame citológico do líquido ascítico foi negativo para células malignas. Foi efectuada ressonância magnética pélvica, noutra instituição, que revelou heterogeneidade do endométrio. Foi então realizada biópsia endometrial que revelou um infiltrado inflamatório com células gigantes de Langhans e o exame bacteriológico isolou Mycobacterium tuberculosis.Ordem dos Médicos2016-06-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfimage/tiffimage/tiffimage/tiffapplication/pdfapplication/pdfimage/tiffimage/tiffapplication/mswordapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706oai:ojs.www.actamedicaportuguesa.com:article/7706Acta Médica Portuguesa; Vol. 29 No. 6 (2016): June; 412-415Acta Médica Portuguesa; Vol. 29 N.º 6 (2016): Junho; 412-4151646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706/4720https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706/8413https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706/8414https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706/8415https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706/8416https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706/8417https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706/8491https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706/8492https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706/8494https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706/8530Direitos de Autor (c) 2016 Acta Médica Portuguesa - Ordem dos Médicosinfo:eu-repo/semantics/openAccessDi Giovanni, Silvia EleonoraCunha, Teresa MargaridaDuarte, Ana LuisaAlves, Ines2022-12-20T11:05:18Zoai:ojs.www.actamedicaportuguesa.com:article/7706Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:29.362925Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Endometrial Tuberculosis Simulating an Ovarian Cancer: a case report Tuberculose Endometrial Simulando um Carcinoma do Ovário |
title |
Endometrial Tuberculosis Simulating an Ovarian Cancer: a case report |
spellingShingle |
Endometrial Tuberculosis Simulating an Ovarian Cancer: a case report Di Giovanni, Silvia Eleonora Tuberculosis Female Genital Endometritis Peritonitis Tuberculous Ovarian Neoplasms. Tuberculose Genital Feminina Endometrite Peritonite Tuberculosa Neoplassia do Ovário. |
title_short |
Endometrial Tuberculosis Simulating an Ovarian Cancer: a case report |
title_full |
Endometrial Tuberculosis Simulating an Ovarian Cancer: a case report |
title_fullStr |
Endometrial Tuberculosis Simulating an Ovarian Cancer: a case report |
title_full_unstemmed |
Endometrial Tuberculosis Simulating an Ovarian Cancer: a case report |
title_sort |
Endometrial Tuberculosis Simulating an Ovarian Cancer: a case report |
author |
Di Giovanni, Silvia Eleonora |
author_facet |
Di Giovanni, Silvia Eleonora Cunha, Teresa Margarida Duarte, Ana Luisa Alves, Ines |
author_role |
author |
author2 |
Cunha, Teresa Margarida Duarte, Ana Luisa Alves, Ines |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Di Giovanni, Silvia Eleonora Cunha, Teresa Margarida Duarte, Ana Luisa Alves, Ines |
dc.subject.por.fl_str_mv |
Tuberculosis Female Genital Endometritis Peritonitis Tuberculous Ovarian Neoplasms. Tuberculose Genital Feminina Endometrite Peritonite Tuberculosa Neoplassia do Ovário. |
topic |
Tuberculosis Female Genital Endometritis Peritonitis Tuberculous Ovarian Neoplasms. Tuberculose Genital Feminina Endometrite Peritonite Tuberculosa Neoplassia do Ovário. |
description |
Female genital tuberculosis remains a major health problem in developing countries and is an important cause of infertility. As symptoms, laboratory data and physical findings are non-specific, its diagnosis can be difficult. We describe a case of a 39-year-old woman suffering from peri-umbilical pain and increased abdominal size for one year, anorexia, asthenia, weight loss, occasionally dysuria and dyspareunia, and four months amenorrhea. Laboratory data revealed cancer antigen 125 (CA-125) level of 132.3 U/mL, erythrocyte sedimentation rate of 42 mm/h, and gamma-globulins of 2.66 g/dL. Computed tomography scan showed loculated ascites. It was initially suspected a carcinomatous origin, but ascites evaluation was negative for malignant cells. Magnetic resonance imaging from another hospital showed endometrial heterogeneity. Therefore, an endometrial biopsy was performed demonstrating an inflammatory infiltrate with giant cells of type Langhans and bacteriological culture identified Mycobacterium tuberculosis. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-06-30 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706 oai:ojs.www.actamedicaportuguesa.com:article/7706 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/7706 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706/4720 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706/8413 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706/8414 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706/8415 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706/8416 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706/8417 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706/8491 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706/8492 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706/8494 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7706/8530 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2016 Acta Médica Portuguesa - Ordem dos Médicos info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2016 Acta Médica Portuguesa - Ordem dos Médicos |
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openAccess |
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application/pdf image/tiff image/tiff image/tiff application/pdf application/pdf image/tiff image/tiff application/msword application/pdf |
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Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 29 No. 6 (2016): June; 412-415 Acta Médica Portuguesa; Vol. 29 N.º 6 (2016): Junho; 412-415 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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