Peritoneal tuberculosis in premenopausal patients with elevated serum CA 125

Abstract

Increased CA 125 levels should be evaluated carefully prior to aggressive surgical approach, especially in premenopausal women and frozen section evaluation should be done before extensive surgical procedure if there is any suspicion.

Surgical Management of Intestinal Tuberculosis in Preoperatively Unsuspected Cases at a Tertiary Care Hospital in Dhaka City

“…Abdominal tuberculosis predominantly involves the younger age population as evident with third decade being the most commonly affected. This correlates well with other national and international studies [7][8][9][10][11][12].…”

Appendicular tuberculosis: review of 155 published cases and a report of two cases

“…However, a number of studies have shown increased CA-125 levels in cases of intestinal TB [26,40], and some studies have demonstrated an increased ESR in TB [10,26,30,36,38,41]. High ESR, as determined in the two cases presented in this study, declined to normal levels at the end of treatment.…”

Ovarian Tuberculosis masquerading as ovarian cancer in HIV infected patient: a plea to avoid unnecessary surgery

“…Although we had no opportunity to assay serum CA-125 level, which is not readily available in our environment, use of CA-125 in discriminating metastatic ovarian cancer from other disease conditions is extremely difficult. CA -125 a tumour associated antigen is no specific, as it is elevated in a variety of conditions including TB [ 12 ]. We also had no opportunity of assaying Ascitic fluid adenosine deaminase (ADA), Omental biopsy and peritoneal was also not done to rule out involvement of the peritoneum.…”