Bulut Gülay, Bayram Yasemin, Bulut Mehmet Deniz, Garça Mehmet Fatih, Bayram İrfan
Departments of Pathology, Yüzüncü Yıl University, Faculty of Medicine, VAN, TURKEY.
Turk Patoloji Derg. 2017;33(3):256-258. doi: 10.5146/tjpath.2014.01276.
Actinomycosis is a rare, chronic, suppurative and granulomatous disease caused by Actinomyces israelii, which is a filamentous, anaerobic, gram-positive, saprophytic organism in the oral cavity. Diagnosis of actinomycosis depends on positive culture or identification of Actinomyces colonies and sulfur granules in histological specimens. In our case, a mass had been growing in the mandible for eight months. The mass appeared to be malignant, both clinically and radiologically. A histopathological examination of the mandible revealed actinomycosis. It should be noted that actinomycosis can mimic a malignancy, and for differential diagnosis, bone biopsy or fine-needle aspiration should be performed pre-operatively.
放线菌病是一种由以色列放线菌引起的罕见的慢性化脓性肉芽肿性疾病，以色列放线菌是口腔中的一种丝状、厌氧、革兰氏阳性腐生菌。放线菌病的诊断取决于组织学标本中放线菌菌落和硫颗粒的阳性培养或鉴定。在我们的病例中，下颌骨有一个肿块已经生长了八个月。从临床和放射学角度来看，这个肿块似乎是恶性的。下颌骨的组织病理学检查显示为放线菌病。需要注意的是，放线菌病可能会被误诊为恶性肿瘤，为了进行鉴别诊断，术前应进行骨活检或细针穿刺抽吸。
