In female genital tuberculosis, ovarian involvement differs from tubal involvement in which characteristic way?

• A Ovaries are involved earlier than tubes via transtubal spread
• B Ovarian involvement occurs only after hysterectomy
• C Ovaries always show caseating abscesses replacing the stroma
• D Parenchymal ovarian disease is rare, involvement being mostly confined to the serosal surface ✓

Explanation

Although the tubes are diseased in almost every case of genital tuberculosis, the ovaries are comparatively spared, with true parenchymal involvement seen in only about 10 percent of cases. The thick tunica albuginea resists penetration by tuberculous infection, so disease is usually limited to the serosal surface with perioophoritic adhesions. This sparing explains why ovulation often continues despite extensive adnexal tuberculosis.

Reference: DC Dutta's Textbook of Gynecology, 8th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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