2023
DOI: 10.1038/s41598-023-27771-5
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Pretreatment CT differential diagnosis of tuberculous peritonitis from peritoneal carcinomatosis of advanced epithelial ovarian cancer

Abstract: 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 dif… Show more

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Cited by 4 publications
(2 citation statements)
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“…The authors suggest that combining imaging and clinical features may be more helpful in achieving an accurate diagnosis rather than either alone. This report adds to a plethora of similar reports that suggest that, beyond a point, these findings may not help in achieving a conclusive diagnosis [ 10 , 11 , 12 , 13 , 14 ]. It remains to be seen whether the addition of upcoming armamentaria, like perfusion CT, or an even better application of simple techniques like intestinal bowel ultrasound would help in improving the differentiating ability [ 15 , 16 ].…”
mentioning
confidence: 59%
“…The authors suggest that combining imaging and clinical features may be more helpful in achieving an accurate diagnosis rather than either alone. This report adds to a plethora of similar reports that suggest that, beyond a point, these findings may not help in achieving a conclusive diagnosis [ 10 , 11 , 12 , 13 , 14 ]. It remains to be seen whether the addition of upcoming armamentaria, like perfusion CT, or an even better application of simple techniques like intestinal bowel ultrasound would help in improving the differentiating ability [ 15 , 16 ].…”
mentioning
confidence: 59%
“…CT findings suggestive of peritoneal TB rather than carcinomatosis include loculated ascites, splenomegaly, and lymph node conglomeration, while focal hepatic and nodular omental lesions favor carcinomatosis [11]. A multivariate model [15] and texture analysis [16] have also been used to differentiate these two entities.…”
Section: Discussionmentioning
confidence: 99%