Fuchs F, Le Tohic A, Raynal P, Guillot E, Chis C, Meckenstock R, Panel P
Service de gynécologie-obstétrique, centre hospitalier de Versailles, 177, rue de Versailles, 78150 Le Chesnay, France.
Gynecol Obstet Fertil. 2007 Jan;35(1):41-4. doi: 10.1016/j.gyobfe.2006.10.028. Epub 2006 Dec 22.
Ovarian and peritoneal sarcoidosis is a very rare condition, with an atypical clinical presentation close to that of ovarian cancer. An erroneous diagnosis could induce a definitive castration. A 38-year-old woman was admitted because of ascites and weight loss. A computerized tomography scan revealed multiple soft tissue nodules in the pelvis, on the ovaries as well as peritoneal deposits. Histological examination after laparoscopic biopsy was indicative of sarcoidosis. Corticosteroids were given to the patient and the symptoms quickly subsided. This case with its clinical presentation is discussed in comparison with previously reported cases.
卵巢和腹膜结节病是一种非常罕见的疾病,其非典型临床表现与卵巢癌相似。错误的诊断可能导致永久性去势。一名38岁女性因腹水和体重减轻入院。计算机断层扫描显示盆腔内有多个软组织结节,卵巢及腹膜有沉积物。腹腔镜活检后的组织学检查提示为结节病。给予患者皮质类固醇治疗后症状迅速缓解。结合此前报道的病例对该病例的临床表现进行了讨论。