Ovarian Cancer या TB? | Confusing Case Solved by Dr Praveen Kammar | Cancer Surgeon, Mumbai

Hi, I am Dr Praveen Kammar (Cancer Surgeon Specializing in Digestive System and Gynecological Cancers) and in this video we’ll talk about a real case that looked like ovarian cancer but turned out to be something very different.
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The Video Flow:
0:00 Introduction
0:30 41-year-old woman with pain, indigestion, and fever
1:00 CA125 585 but is it cancer?
1:25 Scan shows ovarian mass and nodules
1:40 Dermoid cyst and bowel thickening
3:00 Is It Ovarian Cancer?
4:55 Other Diagnostic Tests
5:20 Looking Back at CT Scan
6:30 Next Step
7:30 Removal of Left Ovary
8:30 Taking Peritoneal Sample
9:00 Peritoneal Biopsy
9:50 Specimen Extraction
10:25 Patient Recovery
11:00 Conclusion
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Ovarian Cancer या TB? | Confusing Case Solved by Dr Praveen Kammar | Cancer Surgeon, Mumbai

What was the patient’s story?
A 41 year old premenopausal woman came with lower abdominal pain, indigestion, mild weight loss and evening fever for 2 to 3 months. Her ultrasound and CT scan showed an ovarian mass, some fluid in the abdomen and nodules on the peritoneum. The first impression looked like ovarian cancer.

What did the reports reveal?
Her CA 125 level was 585 which is high but not alarmingly high. The CT suggested a dermoid cyst which is usually non cancerous. There was also bowel wall thickening near the ileocecal junction and nodules in the mesentery which hinted more toward abdominal tuberculosis than cancer.

Is every ovarian mass cancer?
No. Ovarian cancer at 41 is rare. Evening fever is not a cancer symptom. CA 125 can also rise in non cancerous conditions like endometriosis pelvic infections liver problems pancreatitis and tuberculosis.

What happened during laparoscopy?
When we did diagnostic laparoscopy we found multiple small nodules all over the peritoneum and omentum along with the ovarian mass. Samples were taken from the fluid peritoneum omentum and ovary for biopsy and TB testing. The ovarian dermoid cyst was removed carefully without rupture.

What did the final biopsy confirm?
The ovarian mass was a benign dermoid cyst and the peritoneal and omental deposits were due to tuberculosis. The patient started anti tubercular treatment and recovered completely. Her fever stopped she gained weight and her overall health improved.

What can we learn from this case?
Not all ovarian masses are cancer. Not all peritoneal nodules are metastasis. Sometimes abdominal tuberculosis can mimic ovarian cancer. A thorough evaluation and laparoscopy help find the right diagnosis and prevent unnecessary cancer treatment.

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Related Videos:

1. Stage 3 Ovarian Cancer में HIPEC का Role! | HIPEC for Stage 3 Ovarian Cancer! | Dr Praveen Kammar
https://youtu.be/8ixBE7MKCUM

2. Stage 3 Ovarian Cancer का इलाज: HIPEC + Cytoreductive Surgery! | Cancer Q&A | Dr Praveen Kammar
https://youtu.be/Ojxhq8v6WBo

3. Ovarian Cancer में Best Chemotherapy Combo! | paclitaxel + carboplatin in Cancer |Dr Praveen Kammar
https://youtu.be/JCnAZdqe8mY

4. Stage 3 Ovarian Cancer: पहले Chemo या Surgery? | Ovarian Cancer Treatment | Dr Praveen Kammar
https://youtu.be/tIjCwR6P924

5. Chemotherapy और Immunotherapy में क्या अंतर है? | Cancer Treatment Explained! | Dr Praveen Kammar
https://youtu.be/4SfQsR6uVQw
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About Dr. Praveen Kammar

Dr Praveen Kammar is a surgical oncologist practising in the city of Mumbai.
He completed his MCh course in surgical oncology from the reputed Tata Memorial Centre, Mumbai, one of the premier cancer care centres in the country. He also holds a fellowship in Colorectal surgery from Yopnsei cancer centre, Seoul, South Korea. Dr Praveen’s main area of focus is colorectal and GI oncology, Gynecological cancers, minimal access surgeries for abdominal and thoracic malignancies, transanal surgeries, and sphincter-saving surgeries for rectal cancer, cytoreductive surgeries, and HIPEC for advanced abdominal cancers.


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