TY - JOUR T1 - Peritoneal Tuberculosis: A Retrospective Review of 20 Cases and Comparison With Primary Peritoneal Carcinoma JF - International Journal of Gynecologic Cancer JO - Int J Gynecol Cancer SP - 798 LP - 803 DO - 10.1111/IGC.0b013e3181e23c8f VL - 20 IS - 5 AU - Chel Hun Choi AU - Chul-Jung Kim AU - Yoo-Young Lee AU - Joo Sun Kim AU - Taejong Song AU - Hwang-Shin Park AU - Min Kyu Kim AU - Tae-Joong Kim AU - Jeong-Won Lee AU - Je-Ho Lee AU - Duk-Soo Bae AU - Byoung-Gie Kim Y1 - 2010/06/01 UR - http://ijgc.bmj.com/content/20/5/798.abstract N2 - Introduction: To evaluate the clinical features of peritoneal tuberculosis (TB) and to compare them with those of primary peritoneal carcinoma (PPC).Methods: We conducted a retrospective review of women with peritoneal TB who were managed at Samsung Medical Center from January 1996 to October 2006. As a control sample, patients with a diagnosis of PPC during the same period were also selected for comparison.Results: During the study period, we identified 20 female patients with peritoneal TB. The median age was 39 years (range, 23-69 years), and the median cancer antigen 125 (CA-125) level was 448 U/mL (range, 32-1725 U/mL). Seventeen patients with PPC whom we examined were older, with a median age of 63 years (range, 50-73 years); their median CA-125 level was higher at 1848 U/mL (range, 42-14,380 U/mL). Compared with those of PPC, the radiologic findings of peritoneal TB indicated less severe involvement of the omentum and the mesentery (P = 0.03). Among the 20 patients who underwent operations, 6 (30%) underwent exploratory laparotomy; 12 (60%), diagnostic laparoscopy; and 2 (10%), laparoscopy converted to laparotomy because of severe adhesion. Frozen tissue sections revealed chronic granulomatous tissue reaction in 15 (83.3%) of 18 women with peritoneal TB.Conclusions: Maintaining a high index of suspicion is very important for the successful treatment of peritoneal TB, especially in developing countries. Age, CA-125 level, and omental involvement as identified by computed tomography may be helpful for the differential diagnosis of peritoneal TB and PPC. ER -