Karmaniolas K, Liatis S, Dalamaga M, Mourouti G, Digeni A, Migdalis I
Department of Internal Medicine, NIMTS Hospital, Athens, Greece.
Eur J Gynaecol Oncol. 2005;26(2):231-2.
We present a case of systemic sarcoidosis with ovarian and peritoneal involvement. The atypical clinical presentation of the disease has lead to a problem of the differential diagnosis with ovarian cancer. A 72-year-old female was admitted because of low grade fever, fatigue and dilatation of the abdomen. Clinical and laboratory evaluation of the patient revealed moderate right pleural effusion, ascites, diffuse ovarian infiltration, presence of enlarged intraabdominal lymph nodes and a substantially high value of serum CA 125. Histological examination after laparotomy was indicative of ovarian sarcoidosis.
我们报告一例系统性结节病累及卵巢和腹膜的病例。该疾病非典型的临床表现导致了与卵巢癌的鉴别诊断问题。一名72岁女性因低热、疲劳和腹部膨隆入院。对该患者进行的临床和实验室评估显示有中度右侧胸腔积液、腹水、卵巢弥漫性浸润、腹腔淋巴结肿大以及血清CA 125值显著升高。剖腹手术后的组织学检查表明为卵巢结节病。