正常大小卵巢癌中女性腹膜结核与腹膜癌病的CT鉴别诊断

CT Differentiation of Female Peritoneal Tuberculosis and Peritoneal Carcinomatosis From Normal-Sized Ovarian Cancer.

作者信息

Shim Sang Woo, Shin Shang Hun, Kwon Woon Jung, Jeong Yoong Ki, Lee Jong Hwa

机构信息

From the Department of Radiology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea.

出版信息

J Comput Assist Tomogr. 2017 Jan;41(1):32-38. doi: 10.1097/RCT.0000000000000446.

DOI:10.1097/RCT.0000000000000446

PMID:27636249

Abstract

OBJECTIVE

The purpose of this study was to analyze the computed tomography (CT) features of female peritoneal tuberculosis and peritoneal carcinomatosis from normal-sized ovarian cancer for their differentiation.

MATERIALS AND METHODS

We analyzed the CT features of 18 female peritoneal tuberculosis and 17 peritoneal carcinomatosis with proven normal-sized ovarian carcinomas. Omental change, mesenteric change, parietal peritoneal thickening, lymph node enlargement, ascites, ovarian CT attenuation, and ovarian capsular change were analyzed.

RESULTS

Heterogeneous parenchymal hyperattenuation and capsular change of the ovary were more frequently seen in cases of peritoneal carcinomatosis than in cases of female peritoneal tuberculosis (P = 0.002, P < 0.001, respectively). There were no statistically significant differences in the other CT features.

CONCLUSIONS

The differentiation of female peritoneal tuberculosis and peritoneal carcinomatosis with normal-sized ovarian cancer by CT may be a diagnostic challenge. Ovarian hyperattenuation and any prominent ovarian capsular change may facilitate the differentiation between these groups.

摘要