Article: Ascites and adnexal mass with raised CA125: how arduous can be the path of diagnosis
| creativeworkseries.issn | JNMA Print ISSN: 0028-2715; Online ISSN: 1815-672X | |
| dc.contributor.author | Pannu, Deepika | |
| dc.contributor.author | Malik, Sunita | |
| dc.contributor.author | Shamsunder, Saritha | |
| dc.contributor.author | Bhatnagar, Amar | |
| dc.creator.affiliation | Department of Obstetrics and Gynecology, VMMC and Safdarjung Hospital, New Delhi,India. | |
| dc.creator.affiliation | Department of Obstetrics and Gynecology, VMMC and Safdarjung Hospital, New Delhi,India. | |
| dc.creator.affiliation | Department of Obstetrics and Gynecology, VMMC and Safdarjung Hospital, New Delhi,India. | |
| dc.creator.affiliation | Department of Obstetrics and Gynecology, VMMC and Safdarjung Hospital, New Delhi,India. | |
| dc.date.accessioned | 2026-09-28T04:54:48Z | |
| dc.date.available | 2026-09-28T04:54:48Z | |
| dc.date.issued | 2016 | |
| dc.description.abstract | Abstract Ascites, adnexal mass and elevated CA125 levels almost always suggest advanced ovarian carcinoma. We present a case of a 37 years old multiparous lady who presented with such a classical picture. Radiological picture was suggestive of ovarian carcinoma with peritoneal metastasis. However ascitic fluid cytology was negative for malignant cells. A differential diagnosis of tubercular mass was made. Ascitic fluid was sent for adenosine deaminase test that was negative. Fine needle aspiration cytology failed to reveal any sufficient sample for evaluation. Open laparotomy and biopsy was done that showed granulomas suggestive of tuberculosis. Category one anti tubercular treatment was started and symptoms resolved within one month. Keywords: Adenosine Deaminase; Ovarian carcinoma; Pelvic tuberculosis. | |
| dc.identifier.doi | https://doi.org/10.31729/jnma.2815 | |
| dc.identifier.uri | https://hdl.handle.net/20.500.14572/7881 | |
| dc.language.iso | en_US | |
| dc.publisher | Nepal Medical Association | |
| dc.subject | Adenosine Deaminase | |
| dc.subject | Ovarian carcinoma | |
| dc.subject | Pelvic tuberculosis | |
| dc.title | Ascites and adnexal mass with raised CA125: how arduous can be the path of diagnosis | |
| dc.type | Article | |
| dspace.entity.type | Publication | |
| local.article.type | Case Report | |
| oaire.citation.endPage | 39 | |
| oaire.citation.startPage | 36 | |
| relation.isJournalIssueOfPublication | 1916fb5c-ce8e-40c9-8ccb-abf5bed0f4b0 | |
| relation.isJournalIssueOfPublication.latestForDiscovery | 1916fb5c-ce8e-40c9-8ccb-abf5bed0f4b0 | |
| relation.isJournalOfPublication | e6e146a0-0ece-4aba-aa0a-6ccfbd10a12a |