{"paper_id":"040c9e8e-e6bc-4ccb-a397-ef949f9bcdd8","body_text":"Endometriosis Mimicking Ovarian Cancer in the Setting of Acquired Immune Deficiency Syndrome\n- Sina Haeri\n- Jonathan A. Cosin\nBACKGROUND:\nWith rising rates of human immunodeficiency virus (HIV) among women and resultant immunosuppression, clinicians face varying presentations of gynecologic pathologies. We report a case of endometriosis in a patient with acquired immunodeficiency syndrome (AIDS) presenting with a Sister Mary Joseph’s nodule and mimicking carcinomatosis.\nCASE:\nA woman with AIDS and 2-month history of abdominal pain, distention, and weight loss was found to have periumbilical and pelvic masses, ascites, lymphadenopathy, and an elevated CA 125 level. Operative findings included chocolate-colored ascites and peritoneal seeding involving the ovaries, uterus, appendix, bowel, umbilicus, and omentum. The patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy and resection of all gross disease. Pathologic diagnosis was endometriosis and AIDS-associated adenopathy.\nCOMMENT:\nImmunodeficiency from AIDS can affect the progression of endometriosis to the point of mimicking ovarian malignancy.","source_license":"CC0","license_restricted":false}