Goodman H M, Tuomala R E, Leavitt T
J Reprod Med. 1986 Jul;31(7):625-8.
The protean and indolent nature of pelvic actinomycosis combined with the rarity of the disease poses a diagnostic dilemma. Woody induration and pelvic fibrosis may be present to such a degree that a diagnosis of pelvic malignancy is entertained. Early diagnosis and aggressive antibiotic therapy prior to definitive surgical management, even in the face of extensive anatomic changes, may enable the surgeon to perform relatively conservative surgery, obviating the need for procedures usually reserved for malignant disease.
盆腔放线菌病多变且隐匿的特性，加之该疾病的罕见性，构成了诊断难题。可能出现木质样硬结和盆腔纤维化，以至于会考虑盆腔恶性肿瘤的诊断。即使面对广泛的解剖学改变，在进行确定性手术治疗之前进行早期诊断和积极的抗生素治疗，可能使外科医生能够实施相对保守的手术，从而无需进行通常针对恶性疾病的手术。
