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Case Report
Pelvic Actinomycosis Mimicking Pelvic Malignancy
- Sofia Modesto Saramago
, - Joana Catarina Cominho,
- Sara Soares Marques Proença,
- Pedro João Casado Conde,
- Filomena Maria Pinheiro Nunes
08-15-2019
Summary
Case ReportPelvic Actinomycosis Mimicking Pelvic Malignancy
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(7):463-466
08-15-2019- Sofia Modesto Saramago ,
- Joana Catarina Cominho,
- Sara Soares Marques Proença,
- Pedro João Casado Conde,
- Filomena Maria Pinheiro Nunes
Views81Abstract
Asymptomatic female genital tract colonization with Actinomyces spp is not uncommon, particularly among intrauterine device users. Pelvic actinomycosis is an extremely rare disease. The clinical picture can resemble an advanced ovarian malignancy. We report a case of pelvic actinomycosis mimicking ovarian malignancy diagnosed postoperatively. Preoperative diagnosis is possible if there is a high index of suspicion, obviating extensive surgery and preserving fertility, since long term antibiotic treatment can be completely effective. Pelvic actinomycosis should be included in the differential diagnosis of women presenting a pelvic mass, especially if there is intrauterine device use history.
Key-words actinomycosisAnti-bacterial agentsDifferential diagnosisIntrauterine devicespelvic neoplasmsSee moreViews81
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Summary
Case ReportPelvic Actinomycosis Mimicking Pelvic Malignancy
Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(7):463-466
08-15-2019- Sofia Modesto Saramago ,
- Joana Catarina Cominho,
- Sara Soares Marques Proença,
- Pedro João Casado Conde,
- Filomena Maria Pinheiro Nunes
Views81Abstract
Asymptomatic female genital tract colonization with Actinomyces spp is not uncommon, particularly among intrauterine device users. Pelvic actinomycosis is an extremely rare disease. The clinical picture can resemble an advanced ovarian malignancy. We report a case of pelvic actinomycosis mimicking ovarian malignancy diagnosed postoperatively. Preoperative diagnosis is possible if there is a high index of suspicion, obviating extensive surgery and preserving fertility, since long term antibiotic treatment can be completely effective. Pelvic actinomycosis should be included in the differential diagnosis of women presenting a pelvic mass, especially if there is intrauterine device use history.
Key-words actinomycosisAnti-bacterial agentsDifferential diagnosisIntrauterine devicespelvic neoplasmsSee moreThis is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. - Sofia Modesto Saramago
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Artigo de Revisão
Benign breast masses: a review on diagnosis and management
Revista Brasileira de Ginecologia e Obstetrícia. 2007;29(4):211-219
07-30-2007
Summary
Artigo de RevisãoBenign breast masses: a review on diagnosis and management
Revista Brasileira de Ginecologia e Obstetrícia. 2007;29(4):211-219
07-30-2007DOI 10.1590/S0100-72032007000400008
Views41See moreThe benign mammary tumors are responsible for up to 80% of the clinical masses. Its differential diagnosis is wide, involving mammary cysts, fibroadenomas, phyllodes tumors, papillomas, hamartomas, and adenomas, among others. The fibroadenoma is the most common mammary neoplasia in patients under 35 years old, while the cysts are more frequent in the perimenopause. The differential diagnosis among solid or cystic nodules can be made through the fine-needle aspiration or by ultrasound, being therapeutic for the last ones. In this article, the differential diagnostic aspects will be revised between these tumors, as well as the new therapeutic approaches.
Views41This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Summary
Artigo de RevisãoBenign breast masses: a review on diagnosis and management
Revista Brasileira de Ginecologia e Obstetrícia. 2007;29(4):211-219
07-30-2007DOI 10.1590/S0100-72032007000400008
Views41See moreThe benign mammary tumors are responsible for up to 80% of the clinical masses. Its differential diagnosis is wide, involving mammary cysts, fibroadenomas, phyllodes tumors, papillomas, hamartomas, and adenomas, among others. The fibroadenoma is the most common mammary neoplasia in patients under 35 years old, while the cysts are more frequent in the perimenopause. The differential diagnosis among solid or cystic nodules can be made through the fine-needle aspiration or by ultrasound, being therapeutic for the last ones. In this article, the differential diagnostic aspects will be revised between these tumors, as well as the new therapeutic approaches.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
Relato de Caso
Chronic Appendicitis Simulating Müllerian Malformation in Children: Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(10):653-656
07-23-2000
Summary
Relato de CasoChronic Appendicitis Simulating Müllerian Malformation in Children: Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(10):653-656
07-23-2000DOI 10.1590/S0100-72032000001000009
Views98See moreChronic appendicitis might simulate several diseases, making clinical management difficult. We report the case of a 9-year-old girl with an abdominal pain for 13 months. Ultrasound and tomography showed an expansive mass in the lower abdomen. It was extremely difficult to establish the diagnosis because the symptoms, laboratory results and images were inconclusive. The definitive diagnosis occurred only after laparotomy. We discuss in the present article several differential diagnoses for chronic appendicitis, mainly gynecological malformations, endometriosis, neoplasias and pseudotumors.
Views98This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Summary
Relato de CasoChronic Appendicitis Simulating Müllerian Malformation in Children: Case Report
Revista Brasileira de Ginecologia e Obstetrícia. 2000;22(10):653-656
07-23-2000DOI 10.1590/S0100-72032000001000009
Views98See moreChronic appendicitis might simulate several diseases, making clinical management difficult. We report the case of a 9-year-old girl with an abdominal pain for 13 months. Ultrasound and tomography showed an expansive mass in the lower abdomen. It was extremely difficult to establish the diagnosis because the symptoms, laboratory results and images were inconclusive. The definitive diagnosis occurred only after laparotomy. We discuss in the present article several differential diagnoses for chronic appendicitis, mainly gynecological malformations, endometriosis, neoplasias and pseudotumors.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Differential diagnosis Archives - Revista Brasileira de Ginecologia e Obstetrícia
