TY - JOUR
T1 - Coccidioidomycosis mimicking ovarian cancer
AU - Ellis, Michael W.
AU - Dooley, David P.
AU - Sundborg, Michael J.
AU - Joiner, Laura L.
AU - Kost, Edward R.
PY - 2004/11
Y1 - 2004/11
N2 - BACKGROUND:: Dissemination of coccidioidomycosis to the abdominal cavity is rare. No previous case of peritoneal coccidioidomycosis has presented as an adnexal mass. CASE:: We report a case of peritoneal coccidioidomycosis mimicking ovarian carcinoma. The patient presented with a complex ovarian mass, ascites, omental caking, and an elevated CA 125. The ultimate diagnosis was not made until frozen section histopathology was performed at staging laparotomy. CONCLUSION:: Peritoneal coccidioidomycosis can present with the clinical, radiographic, and serologic features of ovarian cancer. Although essential for diagnosis and staging, radiographic studies and tumor markers have limited specificity. Coccidioidomycosis now joins other benign conditions that comprise the differential diagnosis of patients who present with what seems to be advanced ovarian carcinoma. Infectious diseases consultation is recommended for the management of peritoneal coccidioidomycosis.
AB - BACKGROUND:: Dissemination of coccidioidomycosis to the abdominal cavity is rare. No previous case of peritoneal coccidioidomycosis has presented as an adnexal mass. CASE:: We report a case of peritoneal coccidioidomycosis mimicking ovarian carcinoma. The patient presented with a complex ovarian mass, ascites, omental caking, and an elevated CA 125. The ultimate diagnosis was not made until frozen section histopathology was performed at staging laparotomy. CONCLUSION:: Peritoneal coccidioidomycosis can present with the clinical, radiographic, and serologic features of ovarian cancer. Although essential for diagnosis and staging, radiographic studies and tumor markers have limited specificity. Coccidioidomycosis now joins other benign conditions that comprise the differential diagnosis of patients who present with what seems to be advanced ovarian carcinoma. Infectious diseases consultation is recommended for the management of peritoneal coccidioidomycosis.
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U2 - 10.1097/01.AOG.0000128111.90367.f2
DO - 10.1097/01.AOG.0000128111.90367.f2
M3 - Article
C2 - 15516443
AN - SCOPUS:16544391636
SN - 0029-7844
VL - 104
SP - 1177
EP - 1179
JO - Obstetrics and gynecology
JF - Obstetrics and gynecology
IS - 5 PART 2
ER -