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胰十二指肠切除术后酷似恶性肿瘤的肝放线菌病:一例报告

Hepatic Actinomycosis Mimicking Malignancy After Pancreaticoduodenectomy: A Case Report.

作者信息

Frutuoso Luisa, Pereira Ana Marta, Oliveira Vera, Gonçalves Gil, Nora Mário

机构信息

General Surgery, Centro Hospitalar de Entre Douro e Vouga, Santa Maria da Feira, PRT.

General Surgery, Champalimaud Foundation, Lisbon, PRT.

出版信息

Cureus. 2022 Jan 14;14(1):e21234. doi: 10.7759/cureus.21234. eCollection 2022 Jan.

DOI:10.7759/cureus.21234
PMID:35186530
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8844254/
Abstract

Abdominal actinomycosis is a rare disease caused by a Gram-positive bacillus (Actinomyces). Liver manifestation is rare and, in patients with a history of cancer, differential diagnosis with secondary malignant disease can be difficult. Microbiological result is necessary for a correct diagnosis, though not always possible in preoperative workout. The authors present a case of hepatic actinomycosis that mimicked oncological disease and led to a more aggressive surgical approach.

摘要

腹部放线菌病是一种由革兰氏阳性杆菌(放线菌)引起的罕见疾病。肝脏表现罕见,对于有癌症病史的患者,与继发性恶性疾病的鉴别诊断可能很困难。微生物学结果对于正确诊断是必要的,尽管在术前检查中并非总是可行。作者报告了一例酷似肿瘤疾病并导致更积极手术方式的肝放线菌病病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ad/8844254/108b84b262b3/cureus-0014-00000021234-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ad/8844254/3f15dd6899ba/cureus-0014-00000021234-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ad/8844254/7f6898b226fc/cureus-0014-00000021234-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ad/8844254/4e216d248d2b/cureus-0014-00000021234-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ad/8844254/c120fe7ed484/cureus-0014-00000021234-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ad/8844254/bdf42273f74a/cureus-0014-00000021234-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ad/8844254/726cffc63b6b/cureus-0014-00000021234-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ad/8844254/108b84b262b3/cureus-0014-00000021234-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ad/8844254/3f15dd6899ba/cureus-0014-00000021234-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ad/8844254/7f6898b226fc/cureus-0014-00000021234-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ad/8844254/4e216d248d2b/cureus-0014-00000021234-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ad/8844254/c120fe7ed484/cureus-0014-00000021234-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ad/8844254/bdf42273f74a/cureus-0014-00000021234-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ad/8844254/726cffc63b6b/cureus-0014-00000021234-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a4ad/8844254/108b84b262b3/cureus-0014-00000021234-i07.jpg

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本文引用的文献

1
Hepatic Actinomycosis.肝放线菌病
GE Port J Gastroenterol. 2015 Jan 7;22(1):19-23. doi: 10.1016/j.jpge.2014.08.002. eCollection 2015 Jan-Feb.
2
Intra-Abdominal Actinomycosis Mimicking Malignant Abdominal Disease.酷似腹部恶性疾病的腹腔内放线菌病
Case Rep Infect Dis. 2017;2017:1972023. doi: 10.1155/2017/1972023. Epub 2017 Feb 19.
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Primary hepatic actinomycosis.原发性肝放线菌病。
Am J Med Sci. 2010 Apr;339(4):362-5. doi: 10.1097/MAJ.0b013e3181cbf47c.
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The American Joint Committee on Cancer: the 7th edition of the AJCC cancer staging manual and the future of TNM.美国癌症联合委员会:第 7 版 AJCC 癌症分期手册与 TNM 的未来。
Ann Surg Oncol. 2010 Jun;17(6):1471-4. doi: 10.1245/s10434-010-0985-4.
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Radiological reasoning: imaging differentiation of a solitary hepatic mass.放射学推理:孤立性肝肿块的影像鉴别
AJR Am J Roentgenol. 2008 Jun;190(6 Suppl):S57-61. doi: 10.2214/AJR.07.7005.
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Abdominal actinomycosis.腹部放线菌病
Int J Surg. 2007 Dec;5(6):441-8. doi: 10.1016/j.ijsu.2006.06.009. Epub 2006 Aug 10.
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Hepatic actinomycosis presenting as a liver tumour: case report and literature review.表现为肝肿瘤的肝放线菌病:病例报告及文献综述
Asian J Surg. 2004 Oct;27(4):345-7. doi: 10.1016/S1015-9584(09)60066-X.
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Hepatic actinomycosis: an overview of salient features and outcome of therapy.肝放线菌病:显著特征及治疗结果概述
Scand J Infect Dis. 2002;34(5):386-91. doi: 10.1080/00365540110080304.