Mimicking uterine malignancy: Pelvic actinomycosis with giant uterine leiomyoma
Changzai Li,
Pan Zhang,
Guimei Jiao,
Jie Lv,
Chunmei Ma,
Xudong Song,
Jinji Zhang,
Chuntao Wu,
Ruiwei Li,
Hongcheng Zhu
Affiliations
Changzai Li
Department of Oncological Surgery, North China University of Science and Technology Affiliated Hospital, Tangshan, Hebei, China
Pan Zhang
College of Nursing and Rehabilitation, North China University of Science and Technology, Tangshan, Hebei, China
Guimei Jiao
Department of Oncological Surgery, North China University of Science and Technology Affiliated Hospital, Tangshan, Hebei, China
Jie Lv
Department of Oncological Surgery, North China University of Science and Technology Affiliated Hospital, Tangshan, Hebei, China
Chunmei Ma
Department of Computed Tomography, North China University of Science and Technology Affiliated Hospital, Tangshan, Hebei, China
Xudong Song
Department of Pathology, North China University of Science and Technology Affiliated Hospital, Tangshan, Hebei, China
Jinji Zhang
Department of Oncological Surgery, North China University of Science and Technology Affiliated Hospital, Tangshan, Hebei, China
Chuntao Wu
Department of Oncological Surgery, North China University of Science and Technology Affiliated Hospital, Tangshan, Hebei, China
Ruiwei Li
Department of Oncological Surgery, North China University of Science and Technology Affiliated Hospital, Tangshan, Hebei, China
Hongcheng Zhu
Department of Oncological Surgery, North China University of Science and Technology Affiliated Hospital, Tangshan, Hebei, China; Corresponding author at: Department of Surgical Oncology, North China University of Science and Technology Affiliated Hospital, No.73 Jianshe south Road, Tangshan, 063000, China.
Pelvic actinomycosis is a rare disease which is hard to be distinguished from other diseases such as malignant tumors and tuberculosis due to its nonspecific clinical signs and symptoms. If pelvic actinomycosis can be diagnosed preoperatively, the patients can be cured with antimicrobial therapy avoiding surgery. It is especially of concern to distinguish pelvic actinomycosis from pelvic mass, if there is a history of intrauterine device use. We report a case of pelvic actinomycosis that was diagnosed after the postoperative pathology of a suspected uterine malignancy.