模拟卵巢癌的腹膜结核:妇科超声评估与组织病理学证实

IF 1.5 Q3 GASTROENTEROLOGY & HEPATOLOGY Gastroenterology Insights Pub Date : 2021-06-12 DOI:10.3390/GASTROENT12020024
F. Arezzo, Gerardo Cazzato, V. Loizzi, G. Ingravallo, L. Resta, G. Cormio
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引用次数: 7

摘要

腹膜结核(TBP)是一种非常罕见的疾病,约占所有结核病例的1-2%。TBP的诊断很容易被误认为是晚期癌症(AOC)或腹膜癌,因为实验室和临床表现重叠。我们报告了一名67岁女性的TBP病例的超声特征,该女性在我们研究所就诊,有1个月的间歇性下腹疼痛、发烧和乏力病史。总的来说,20个活检标本的组织病理学特征提示腹膜结核。妇科超声显示附件增加,表面有多个结节,提示干酪样结节。虽然这是一种罕见的情况,临床医生应该考虑TBP作为卵巢或腹膜癌症的鉴别诊断。
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Peritoneal Tuberculosis Mimicking Ovarian Cancer: Gynecologic Ultrasound Evaluation with Histopathological Confirmation
Peritoneal tuberculosis (TBP) is a very rare condition, accounting for about 1–2% of all tuberculosis cases. The diagnosis of TBP can be easily mistaken for advanced ovarian cancer (AOC) or peritoneal carcinoma because of overlapping laboratory and clinical findings. We reported the ultrasound characteristics of a case of TBP in a 67-year-old woman who presented to our institute with a 1-month history of intermittent lower abdominal pain, fever, and asthenia. Overall, 20 biopsy-retrieved specimen histopathological features were suggestive of peritoneal tuberculosis. Gynecologic ultrasound revealed increased adnexa with multiple nodular formations spread across the surface, suggestive of caseous nodules. Although this is a rare occurrence, clinicians should consider TBP as a differential diagnosis of ovarian or peritoneal cancer.
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来源期刊
Gastroenterology Insights
Gastroenterology Insights GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
2.80
自引率
3.40%
发文量
35
审稿时长
10 weeks
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