2. Academic Validation
  3. Diagnosis of Peritoneal Tuberculosis from Primary Peritoneal Cancer

Diagnosis of Peritoneal Tuberculosis from Primary Peritoneal Cancer

  • Int J Environ Res Public Health. 2021 Oct 3;18(19):10407. doi: 10.3390/ijerph181910407.
I-Hui Chen 1 2,  Pao-Ling Torng 1 2,  Chia-Yi Lee 1 2 3,  Kuang-Han Lee 1 4,  Heng-Cheng Hsu 1 2 3,  Wen-Fang Cheng 2 3 5
Affiliations

Affiliations

  • 1 Department of Obstetrics and Gynecology, National Taiwan University Hospital Hsin-Chu Branch, Hsin-Chu 300, Taiwan.
  • 2 Department of Obstetrics and Gynecology, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei 100, Taiwan.
  • 3 Graduate Institute of Clinical Medicine, College of Medicine, National Taiwan University, Taipei 100, Taiwan.
  • 4 Department of Obstetrics and Gynecology, Chu-Tung Branch, Hsin-Chu 310, Taiwan.
  • 5 Graduate Institute of Oncology, College of Medicine, National Taiwan University, Taipei 100, Taiwan.
PMID: 34639707 DOI: 10.3390/ijerph181910407
Abstract

Peritoneal tuberculosis (PTB) is an uncommon extrapulmonary Infection mimickng primary peritoneal Cancer (PPC). We retrospectively included 23 women with PTB and 47 women with PPC treated in a medical center to study the clinical and radiological features that differentiate PTB from PPC. Body temperature above 38 °C was a unique feature of PTB (34.7% versus 0%, p < 0.001). Body Mass Index (BMI) was lower (21.9 ± 3.7 versus 25.2 ± 4.1, p = 0.003), white blood cell (WBC) count was lower (5179.6 ± 1502.2 versus 7716.2 ± 2741.8, p < 0.001), and CA-125 level was lower (508.0 ± 266.1 versus 2130.1 ± 2367.2 U/mL, p < 0.001) in PTB compared with PPC. Imaging detected more pulmonary infiltration and consolidation (52.2% versus 6.4%, p < 0.001), and less omental/mesentery changes (52% versus 83%, p < 0.001) in PTB compared with PPC. The operated patients received earlier treatment compared to patients without operation (7.9 ± 5.3 days versus 17.2 ± 11.0 days, p = 0.010). In conclusion, fever above 38 °C, lower BMI, lower WBC count, less elevated CA-125 level, and imaging of less omental involvement were features of PTB differentiated from PPC.

Keywords

peritoneal neoplasms; radiography; symptom assessment; tuberculous peritonitis.

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