経腟超音波ガイド下生検にて確定診断し得た重症骨盤内放線菌症の1例

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  • A Case of Severe Pelvic Actinomycosis Diagnosed by Transvaginal Ultrasound Guided Aspiration Biopsy

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A 52-year-old woman exhibited a large, solid, fixed, irregular shaped pelvic mass simulating advanced uterine sarcoma or ovarian carcinoma. Diagnostic imagines showed tumorous infiltration to the bladder and rectal mucosa. Biopsy specimens from those mucosal lesions and samples at exploratory laparotomy could not guide us to a definite tissue diagnosis. For a conclusive diagnosis, transvaginal ultrasound guided aspiration biopsy for the core of the tumor was perfomed with an oocyte-pick-up needle. As a result, sulfur granules characteristic of actinomycosis were revealed on histological examination. Her tumor was noticeably decreased in size by 6-month penicillin-based antibiotic therapy.

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