Abstract: Pelvic tuberculous mass is a clinically common gynecologic diseases, which is often to confound with other’s pelvic mass and tumor and easy to be misdiagnosed and missed diagnosed. To improve the diagnostic accuracy of female mass with pelvic tuberculosis, the patients’ history, symptoms and signs should be analyzed comprehensively. At the same time, we should perfect associated examinations, including tuberculin test, etiological examination, diagnostic curettage,cancer antigen 125, seroperitoneum and imaging examination. Tuberculosis immunological diagnosis and molecular biology detection provide fast examination technology for extrapulmonary tuberculosis. Laparoscope or exploratory laparotomy is necessary to patients who hard to make definite diagnosis. It is better to distinguish this disease from pelvic inflammatory disease, ovarian endometriotic cyst, benign and malignant ovarian tumors, especially from ovarian cancer, and it should be distinguished from abdominal tumor and febrile di-sease. The treatment of pelvic tuberculosis is totally based on chemical drug therapy. To highly suspected of genital tuberculosis, we can do diagnostic treatment. Surgical treatment can be used if necessary. When patients with severe tubercular toxic symptom, glucocorticoid adjunctive therapy should be used.

Key words: Tuberculosis, female genital/diagnosis, Tuberculosis, female genital/therapy