학술논문

腹膜結核病模仿惡性腫瘤併腹膜轉移 / Peritoneal tuberculosis mimicking peritoneal carcinomatosis
Document Type
Article
Source
婦癌醫學期刊. Issue 57, p12-15. 4 p.
Subject
肺外結核
腹膜結核病
腹膜轉移
extrapulmonary TB
peritoneal tuberculosis
peritoneal carcinomatosis
Language
繁體中文
英文
ISSN
1019-5998
Abstract
Tuberculosis (TB) is an infectious disease that is caused by Mycobacterium tuberculosis and usually confined to the respiratory system but may involve any organ system, particularly in immunocompromised patients If TB infection is not primarily located in the lungs, it is called extrapulmonary TB (EPTB). Worldwide, it is estimated that between 10 to 25% of TB infections occur extrapulmonarily. The most common sites of EPTB were lymph node (26%), pleural (21%), disseminated (20%) and central nervous system (CNS) or meningeal (16%). All-cause highly mortality rate in patients with extrapulmonary TB was 15%. Therefore, establishing a definitive diagnosis is prime importance. Primary peritoneal tuberculosis is a rare disease that may mimic peritoneal carcinomatosis because of non-specific symptoms and similar clinical pictures, including radiologic and laboratory test results, a positive culture or histologic analysis of biopsy specimens is still required in many patients for definitive diagnosis. Accordingly, minimally invasive diagnostic laparoscopy of peritoneal tuberculosis is effective and valuable.

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