“…More interestingly, although gynecological TB is secondary to pulmonary tuberculosis, negative CXR, and sputum analysis doesn't rule out it [ 1 ]. Also, CA-125 level may be increased in gynecological TB which along with omental caking can mimic ovarian carcinoma [ 6 ], complicating the diagnosis. When a diagnosis of tuberculosis is unclear, a full body examination should be conducted to search for supporting evidence.…”