Sehouli Jalid, Stupin Jens H, Schlieper Ulrike, Kuemmel Sherko, Henrich Wolfgang, Denkert C, Dietel M, Lichtenegger Werner
University Departments of Gynecology and Obstetrics, Charité University of Medicine, Virchow-Klinikum Campus, Berlin, Germany.
Anticancer Res. 2006 Mar-Apr;26(2C):1727-31.
Actinomycosis in the pelvic region is an uncommon diagnosis. This infection is caused by Actinomyces israelii, a gram-positive anerobic saprophyte bacterium that is a normal inhabitant of the upper intestinal tract in humans. Pelvic actinomycosis is difficult to diagnose pre-operatively and is diagnosed, in most cases, accidentally. Actinomycosis can mimic pelvic and abdominal malignancies. A case report of a 35-year-old female patient with a fixed pelvic mass is presented and the diagnosis and treatment of pelvic actinomycotic inflammatory disease in relation to ovarian cancer are discussed. Clinicians should be aware of this rare infection to spare women potential morbidity from excessive surgical procedures.
盆腔放线菌病是一种罕见的诊断。这种感染由以色列放线菌引起，它是一种革兰氏阳性厌氧腐生菌，是人类上消化道的正常寄居菌。盆腔放线菌病术前难以诊断，在大多数情况下是偶然发现的。放线菌病可酷似盆腔和腹部恶性肿瘤。本文报告一例35岁女性患者，其盆腔有固定肿块，并讨论了盆腔放线菌性炎症疾病与卵巢癌的诊断和治疗。临床医生应意识到这种罕见感染，以免女性因过度手术而出现潜在的发病情况。
