Hung Y H, Hsu C T, Chang C C
Department of Obstetrics & Gynaecology, E-DA Hospital/I-Shou University, Kaohsiung County, Taiwan, ROC.
Eur J Gynaecol Oncol. 2010;31(3):345-6.
The differential diagnosis for what may seem an inguinal hernia may be complex, as lateral pain may be of many types of origin. We report the case of a 48-year-old female patient who presented with a history of painful, progressively protruding soft bulging masses over the bilateral inguinal area and a 20-year history of head cancer and hepatitis B virus. Pathological analysis, gynecological ultrasound and abdominal computed tomography scan were required to make final determination. Final diagnosis was Stage IV ovarian carcinomatosis, which responded to chemotherapy. Initial diagnosis of inguinal hernia should not rule out other potential diagnoses, particularly in complex cases with other risk factors.
看似腹股沟疝的鉴别诊断可能很复杂，因为腹股沟外侧疼痛可能有多种起源。我们报告一例48岁女性患者，其双侧腹股沟区有疼痛性、逐渐突出的软性肿物，有20年的头部癌症和乙肝病毒病史。需要进行病理分析、妇科超声和腹部计算机断层扫描来做出最终诊断。最终诊断为IV期卵巢癌转移，对化疗有反应。腹股沟疝的初步诊断不应排除其他潜在诊断，尤其是在伴有其他风险因素的复杂病例中。
