진행성 난소암으로 오인된 골반 내 방선균증 1예
A CASE OF PELVIC ACTINOMYCOSIS MISTAKEN FOR ADVANCED OVARIAN CANCER
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초록
방선균은 비인두강 및 장 점막에 정상적으로 상재하는 균이다. 골반 내 방선균증은 농양이나 장협착 및 그 외 다른 심각한 합병증을 일으킬 수 있는 드문 질환으로 종종 골반 내 종양과 흡사해서 수술 전에 진단되는 경우는 드물고 확진은 혐기성배양이나 조직검사결과로 한다. 골반 내 방선균증은 자궁 내 피임장치를 오래 사용하는 것과 관련이 있다고 알려져 있으나 저자들은 자궁 내 피임장치를 사용하지 않은 여성에서 우측 수신증 및 골반 내 림프절 종대, CA-125 상승으로 진행성 난소암으로 오인된 골반 내 방선균증을 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Abstract
Actinomycosis is a normal inhabitant of the mouth and gastrointestinal tract. Pelvic actinomycosis is a rare disease that can result in abscess formation, bowel obstruction, and other serious complications. Diagnosis can seldom be established before radical surgery because the disease often mimics pelvic neoplasms and depends on anaerobic culture or histologic identifi cation of the organism. It has been recently recognized that pelvic actinomycosis is associated with long-term use of an intrauterine contraceptive device. But we had experienced a case of pelvic actinomycosis mimicking ovarian malignancy with a right hydronephrosis and lymph node enlargement in aortocarval and left paraaortic area in woman who did not use intra-uterine device.
참고문헌 (15)
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