Coccidioidomycosis mimicking ovarian cancer

Michael W. Ellis, David P. Dooley, Michael J. Sundborg, Laura L. Joiner, Edward R. Kost

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)1177-1179
Number of pages3
JournalObstetrics and Gynecology
Volume104
Issue number5 PART 2
DOIs
StatePublished - Nov 1 2004
Externally publishedYes

ASJC Scopus subject areas

  • Obstetrics and Gynecology

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