Your browser doesn't support javascript.
loading
Pretreatment CT differential diagnosis of tuberculous peritonitis from peritoneal carcinomatosis of advanced epithelial ovarian cancer.
Lee, Chul-Min; Choi, Joong Sub; Kim, Mimi; Kang, Bo-Kyeong; Bae, Jaeman; Lee, Won Moo; Jung, Un Suk; Eom, Jeong Min; Kim, Yeon Kyoung; Kim, Jin Young.
Afiliación
  • Lee CM; Department of Radiology, Hanyang University College of Medicine, Seoul, Republic of Korea.
  • Choi JS; Division of Gynecology and Gynecologic Minimally Invasive Surgery, Department of Obstetrics and Gynecology, Hanyang University College of Medicine, 222 Wangsimni-ro Seongdong-gu, Seoul, 04763, Republic of Korea. choiyjjy1@hanyang.ac.kr.
  • Kim M; Department of Radiology, Hanyang University College of Medicine, Seoul, Republic of Korea.
  • Kang BK; Department of Radiology, Hanyang University College of Medicine, Seoul, Republic of Korea.
  • Bae J; Division of Gynecology and Gynecologic Minimally Invasive Surgery, Department of Obstetrics and Gynecology, Hanyang University College of Medicine, 222 Wangsimni-ro Seongdong-gu, Seoul, 04763, Republic of Korea.
  • Lee WM; Division of Gynecology and Gynecologic Minimally Invasive Surgery, Department of Obstetrics and Gynecology, Hanyang University College of Medicine, 222 Wangsimni-ro Seongdong-gu, Seoul, 04763, Republic of Korea.
  • Jung US; Division of Gynecology and Gynecologic Minimally Invasive Surgery, Department of Obstetrics and Gynecology, Hanyang University College of Medicine, 222 Wangsimni-ro Seongdong-gu, Seoul, 04763, Republic of Korea.
  • Eom JM; Division of Gynecology and Gynecologic Minimally Invasive Surgery, Department of Obstetrics and Gynecology, Hanyang University College of Medicine, 222 Wangsimni-ro Seongdong-gu, Seoul, 04763, Republic of Korea.
  • Kim YK; Division of Gynecology and Gynecologic Minimally Invasive Surgery, Department of Obstetrics and Gynecology, Hanyang University College of Medicine, 222 Wangsimni-ro Seongdong-gu, Seoul, 04763, Republic of Korea.
  • Kim JY; Division of Gynecology and Gynecologic Minimally Invasive Surgery, Department of Obstetrics and Gynecology, Hanyang University College of Medicine, 222 Wangsimni-ro Seongdong-gu, Seoul, 04763, Republic of Korea.
Sci Rep ; 13(1): 1085, 2023 01 19.
Article en En | MEDLINE | ID: mdl-36658262
Delayed diagnosis of female genital tuberculosis (FGTB) can lead to inappropriate treatment and unnecessary surgical procedures rather than standard anti-TB medication. We tried to evaluate the use of computed tomography (CT) imaging to differentiate TB peritonitis from peritoneal carcinomatosis of advanced epithelial ovarian cancer (AEOC). We investigated women who underwent CT to distinguish between TB peritonitis and peritoneal carcinomatosis of AEOC. We evaluated various CT imaging features to identify differences between the two diseases. In addition, we performed univariate and multivariate logistic regression analyses to identify the independent imaging parameters associated with TB peritonitis and evaluated the diagnostic performance of the combined imaging parameters. We also performed the histopathological analysis of the available salpinx specimens of TB peritonitis. We included 25 women with TB peritonitis and 34 women with peritoneal carcinomatosis of AEOC. A multivariate analysis of the discriminant CT imaging features between the two diseases revealed that changes in fallopian tubes and peritoneal micronodules were independent parameters associated with TB peritonitis (p ≤ 0.012). Combining the two imaging parameters showed an area under the receiver operating characteristic curve of 0.855, a sensitivity of 88.0%, and a specificity of 67.7% for differentiating TB peritonitis from peritoneal carcinomatosis. Furthermore, changes in fallopian tubes were correlated with histopathological abnormalities in salpinx specimens. Pretreatment CT evaluation with useful imaging features could help differentiate TB peritonitis from peritoneal carcinomatosis of AEOC.
Asunto(s)
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Ováricas / Neoplasias Peritoneales / Peritonitis Tuberculosa Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Female / Humans Idioma: En Revista: Sci Rep Año: 2023 Tipo del documento: Article Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Neoplasias Ováricas / Neoplasias Peritoneales / Peritonitis Tuberculosa Tipo de estudio: Diagnostic_studies / Prognostic_studies Límite: Female / Humans Idioma: En Revista: Sci Rep Año: 2023 Tipo del documento: Article Pais de publicación: Reino Unido