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ABDOMINAL TUBERCULOSIS MIMICKING OVARIAN CANCER ON CT SCAN: THE VALUE OF CHEST X-RAY IN DIAGNOSIS

Volume: 78  ,  Issue: 1 , June    Published Date: 15 June 2021
Publisher Name: IJRP
Views: 594  ,  Download: 453 , Pages: 117 - 126    
DOI: 10.47119/IJRP100781620211974

Authors

# Author Name
1 Ardhi Tripriyanggara
2 Lies Mardiyana, Sp.Rad(K)
3 Dyah Erawati.Sp.Rad(K)Onk.Rad
4 Prof. Bambang Soeprijanto,Sp.Rad(K)
5 Hari Nugroho, Sp.OG(K)

Abstract

Background: Difficulties in diagnosing abdominal tuberculosis prevent the patient from receiving optimal therapy. The objective of this study was to determine whether chest X-rays have value in the diagnosis of abdominal tuberculosis which mimics ovarian cancer on CT- scans. Materials and Methods: : This was a retrospective study on abdominal tuberculosis patients who had mimicked ovarian cancer on CT- scans at Soetomo Hospital Surabaya from January 2015 to December 2020. Results: We included 33 patients in this study. The diagnosis was confirmed by biopsy and histopathological examination. The patient age ranged between 20 and 60 years. Twenty patients (60.6%) had normal chest X-rays. The most common severity level of CT scans results of abdominal tuberculosis was moderate severity (63.67%), which was most common in both the group of normal chest X-rays (65%) and the group of chest X-rays with pulmonary tuberculosis (61.5%).Pearson chi-square test showed there was no statistical relationship between the presence of pulmonary tuberculosis on chest X-ray and the extent of abdominal tuberculosis on CT scan. The contingency coefficient between the variables obtained an r of 0.157 (p> 0.05). Conclusion: Chest X-ray is considered to have no significant role in the diagnosis of abdominal tuberculosis mimicking ovarian cancer on CT-scan.

Keywords

  • ovarian tuberculosis