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腹部盆腔结核,冰冻切片分析结果与卵巢癌相符。

Abdominopelvic Tuberculosis with a Frozen Section Analysis Consistent with Ovarian Cancer.

作者信息

Martins-Filho Agrimaldo, Crispim Paula Carolina Arvelos, Etchebehere Renata Margarida, de Oliveira Cristina da Cunha Hueb Barata, Murta Eddie Fernando Candido, Nomelini Rosekeila Simões

机构信息

Oncological Research Institute (IPON), Discipline of Gynecology and Obstetrics, Federal University of the Triângulo Mineiro, Uberaba, MG, Brazil.

Surgical Pathology Service, Federal University of the Triângulo Mineiro, Uberaba, MG, Brazil.

出版信息

Case Rep Infect Dis. 2017;2017:6401694. doi: 10.1155/2017/6401694. Epub 2017 Apr 9.

DOI:10.1155/2017/6401694
PMID:28487789
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5401731/
Abstract

Pelvic tuberculosis is a type of extrapulmonary tuberculosis. The disease is accompanied by clinical and laboratory findings which may be unspecific and present aspects of other diseases, including gynecological malignancies. In this report, the authors presented a case of pelvic tuberculosis associated with peritoneal tuberculosis in a young woman exhibiting imaging and tumor markers consistent with ovarian neoplasm. An intraoperative frozen section analysis detected atypical cells that were suggestive of ovarian borderline or malignant epithelial neoplasia. The pathological analysis showed granulomatous inflammation in the right ovary and fallopian tube with a pattern of mycobacteriosis that was consistent with the presence of mycobacteria morphologically compatible with . The patient had a complete remission after the use of antituberculosis drugs.

摘要

盆腔结核是一种肺外结核。该疾病伴有临床和实验室检查结果,这些结果可能不具有特异性,且呈现出其他疾病的表现,包括妇科恶性肿瘤。在本报告中,作者介绍了一名年轻女性盆腔结核合并腹膜结核的病例,该患者的影像学和肿瘤标志物表现与卵巢肿瘤一致。术中冰冻切片分析检测到非典型细胞,提示卵巢交界性或恶性上皮性肿瘤。病理分析显示右卵巢和输卵管有肉芽肿性炎症,其分枝杆菌病模式与形态学上与之相符的分枝杆菌存在一致。患者使用抗结核药物后完全缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa03/5401731/dcee5d5f023e/CRIID2017-6401694.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa03/5401731/dcee5d5f023e/CRIID2017-6401694.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fa03/5401731/dcee5d5f023e/CRIID2017-6401694.001.jpg

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本文引用的文献

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Ovarian tuberculosis mimicking a malignant tumour.酷似恶性肿瘤的卵巢结核
Afr J Paediatr Surg. 2015 Apr-Jun;12(2):155-7. doi: 10.4103/0189-6725.160438.
2
Abdominopelvic tuberculosis mimicking advanced ovarian cancer and pelvic inflammatory disease: a series of 28 female cases.腹部盆腔结核模拟晚期卵巢癌和盆腔炎性疾病:28 例女性病例系列。
Arch Gynecol Obstet. 2014 Mar;289(3):623-9. doi: 10.1007/s00404-013-3034-2. Epub 2013 Oct 8.
3
Diagnosing peritoneal tuberculosis.诊断结核性腹膜炎。
BMJ Case Rep. 2013 Jun 19;2013:bcr2013009871. doi: 10.1136/bcr-2013-009871.
4
Peritoneal tuberculosis mimicking advanced ovarian carcinoma: an important differential diagnosis to consider.酷似晚期卵巢癌的腹膜结核:一个需要考虑的重要鉴别诊断。
BMC Res Notes. 2013 Mar 9;6:88. doi: 10.1186/1756-0500-6-88.
5
Peritoneal tuberculosis mimicking ovarian cancer.腹膜结核误诊为卵巢癌。
Eur J Obstet Gynecol Reprod Biol. 2012 May;162(1):105-8. doi: 10.1016/j.ejogrb.2012.02.010. Epub 2012 Mar 6.
6
Pelvic-peritoneal tuberculosis mimicking ovarian cancer.酷似卵巢癌的盆腔腹膜结核
J Coll Physicians Surg Pak. 2012 Feb;22(2):113-5.
7
Disseminated peritoneal tuberculosis simulating advanced ovarian cancer: a retrospective study of 17 cases.播散性腹膜结核模拟晚期卵巢癌:17 例回顾性研究。
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8
Familial tuberculosis mimicking advanced ovarian cancer.酷似晚期卵巢癌的家族性肺结核。
Infect Dis Obstet Gynecol. 2009;2009:736018. doi: 10.1155/2009/736018. Epub 2009 Dec 21.
9
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