Tuberculous pleural effusions: Ultrasonic diagnosis

Akhan, Okan; Demirkazık, Figen Başaran; Özmen, Mustafa; Balkancı, Ferhun; Özkara, Şeref; Cöplö, Lötfi; Emri, Salïh; Besim, Aytekin

doi:10.1002/jcu.1870200708

Cited by 43 publications

(26 citation statements)

References 15 publications

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“…4,5 Pleural thickening and a complex septated pattern, with fibrinous strands in the pleural space producing a weblike or branching appearance, has been strongly associated with tuberculosis. [6][7][8] Chen et al 9 found a 96% specificity for tuberculous pleural effusions when differentiating between tuberculosis and malignancy.…”

Section: Discussionmentioning

confidence: 99%

Tuberculous pleural effusion

Zhai¹,

Lu²,

Shi³

2016

J. Thorac. Dis.

143

109

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Section: Discussionmentioning

confidence: 99%

Tuberculous pleural effusion

Zhai¹,

Lu²,

Shi³

2016

J. Thorac. Dis.

143

109

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“…As reported, tuberculous pleural effusions and empyema commonly had complex septated sonographic appearances. 6,[13][14][15] However, the differentiation between empyema and tuberculosis is easily made. Therefore, our objective was to focus on the lymphocyte-rich exudative pleural effusions.…”

Section: D a Bmentioning

confidence: 99%

Sonographic Septation in Lymphocyte-Rich Exudative Pleural Effusions

Chen

Hsu

et al. 2006

Journal of Ultrasound in Medicine

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Objective. The purpose of this study was to evaluate the role of the sonographic features of lymphocyte-rich exudative pleural effusions in the differential diagnosis of tuberculosis and lung cancer in an area with a high incidence of tuberculosis. Methods. Medical records of patients undergoing chest sonography between January 2003 and June 2005 (30 months) were reviewed retrospectively. The enrolled patients included 73 with lung cancer-related pleural effusions and 93 with tuberculous pleural effusions. The sonographic appearances of the pleural effusions were defined in terms of 4 patterns: anechoic, homogeneously echogenic, complex septated, and complex nonseptated. Results. Among the 73 lung cancer-related pleural effusions, there were sonographic appearances of an anechoic pattern in 11% (8/73), a complex septated pattern in 4% (3/73), and a complex nonseptated pattern in 85% (62/73). In 93 tuberculous pleural effusions, there were sonographic appearances of an anechoic pattern in 12% (11/93), a complex septated pattern in 47% (44/93), and a complex nonseptated pattern in 41% (38/93). Apparently, a complex septated pattern in the sonographic appearance of lymphocyte-rich pleural effusions is a useful diagnostic predictor for differentiating tuberculosis from lung cancer (95% confidence interval, -0.57 to -0.29). If we define the complex septated pattern in the sonographic appearance of lymphocyte-rich exudative pleural effusions as a predictor for tuberculous pleural effusions, we can achieve sensitivity, specificity, positive predictive value, negative predictive value, and positive likelihood ratio values of 47%, 96%, 94%, 59%, and 12, respectively. Conclusions. A complex septated pattern in the sonographic appearance is a useful predictor of tuberculosis in lymphocyte-rich exudative pleural effusions.

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“…The adhesive bands between the parietal peritoneum and bowel loops are often thick and rigid in peritoneal mesothelioma, unlike the fine septations seen in tuberculous peritonitis. The ascites in mesothelioma is disproportionately small in relation to the tumor dissemination and not loculated, unlike the ascites seen in tuberculous peritonitis [11].…”

Section: Discussionmentioning

confidence: 99%

Peritoneal mesothelioma: Sonographic findings in nine cases

et al. 1993

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Ultrasonographic findings in nine cases of peritoneal mesothelioma are presented. The most common findings were sheet-like or nodular peritoneal thickening, soft tissue masses, fixation of the intestinal loops, mesenteric thickening, and minimal ascites which was disproportional to the degree of tumor dissemination. The authors found that abdominal sonography, using 3.75-7.5 MHz transducers, is a useful imaging method for diagnosis of peritoneal mesothelioma in high-risk groups.

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Tuberculous pleural effusions: Ultrasonic diagnosis

Cited by 43 publications

References 15 publications

Tuberculous pleural effusion

Tuberculous pleural effusion

Sonographic Septation in Lymphocyte-Rich Exudative Pleural Effusions

Peritoneal mesothelioma: Sonographic findings in nine cases

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