WHEN TUBERCULOSIS IMITATES CANCER: UNRAVELING TUBERCULOUS PSEUDO-TUMOR IN GYNECOLOGICAL ONCOLOGY CASE REPORT

Pelvic-peritoneal tuberculosis is a rare extrapulmonary form that can clinically and paraclinically resemble advanced ovarian cancer, potentially leading to unnecessary extensive abdominal and pelvic surgeries. We present the case of a 15-year-old Moroccan girl who exhibited abdominal distension and vague pain. Imaging studies showed bilateral ovarian masses and ascites, with a CA125 level of 500 U/ml, raising strong suspicion for ovarian malignancy. However, histological examination from a diagnostic laparotomy revealed numerous granulomas containing epithelioid and Langhans giant cells. The patient responded favorably to antituberculosis therapy, resulting in the normalization of her CA125 levels.