Abdominopelvic tuberculosis masquerading ovarian malignancy - Histopathology key to management

Abdominopelvic tuberculosis (genital tuberculosis) may mimic ovarian malignancy in clinical presentation, ultrasound findings and laboratory tests. We present two cases of genital tuberculosis where a provisional diagnosis of ovarian carcinoma was made. One patient underwent surgery and the other was treated conservatively. These cases underline the mandatory need of a high index of suspicion in our country, towards pelvic tuberculosis preoperatively in a patient with adnexal mass.