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Differentiating pelvic actinomycosis from advanced ovarian cancer: a report of two cases management reflections and literature review

机译:区分盆腔放线菌病与晚期卵巢癌:两例报告管理思路和文献复习

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摘要

Pelvic actinomycosis comprises a rare, subacute to chronic bacterial infection characterised by suppurative and granulomatous inflammation. Diagnosis is difficult as it may simulate pelvic malignancies. Laboratory and radiological findings are non-specific. We reported on 2 cases of pelvic actinomycosis mimicking ovarian malignancy with different management approaches that lead to opposite outcomes. We reviewed the literature on pelvic actinomycosis imitating ovarian cancer with a focus on its surgical management. Despite agreement on the duration of antibiotic therapy following surgical management, consensus regarding surgical approach was rather equivocal. We concluded that pelvic actinomycosis should be strongly suspected in women with presumed ovarian cancer of atypical presentation and a history of intrauterine devices (IUD).Electronic supplementary materialThe online version of this article (doi:10.1186/2053-6844-1-5) contains supplementary material, which is available to authorized users.
机译:盆腔放线菌病包括罕见的,以化脓性和肉芽肿性炎症为特征的慢性细菌感染亚急性病。诊断可能很困难,因为它可能会模拟盆腔恶性肿瘤。实验室和放射学检查结果不具特异性。我们报告了2例模仿卵巢恶性肿瘤的盆腔放线菌病病例,采用不同的治疗方法导致相反的结果。我们回顾了有关盆腔放线菌病模仿卵巢癌的文献,重点是其外科治疗。尽管就外科手术治疗后抗生素治疗的持续时间达成了共识,但有关外科手术方法的共识仍含糊不清。我们的结论是,对于患有非典型表现的卵巢癌且有子宫内装置史(IUD)的女性,应该强烈怀疑盆腔放线菌病。电子补充材料本文的在线版本(doi:10.1186 / 2053-6844-1-5)包含补充材料,授权用户可以使用。

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