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- 腹腔內放線菌感染--類似腫瘤
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題名 | Advanced Actinomycosis Involving Urogenital Organs Simulating Malignancy: A Case Report=放射線菌病--擬惡性腫瘤侵犯生殖泌尿器官:一例報告 |
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作者 | 盧佳序; 陳芳萍; 朱僑光; 宋永魁; Lo, Tsia-shu; Chen, Fang-ping; Chu, Kiu-kwong; Soong, Yung-kuei; |
期刊 | 長庚醫學 |
出版日期 | 19971200 |
卷期 | 20:4 1997.12[民86.12] |
頁次 | 頁313-317 |
分類號 | 417.3 |
語文 | eng |
關鍵詞 | 放射線菌病; 子宮內避孕器; Actinomycosis; Intra-uterine contraceptive device; |
中文摘要 | 放射線菌病造成骨盆腔腫瘤十分罕見,尤其是以類似惡性腫瘤方式同時侵犯女性 生殖與泌尿器官,在文獻上亦從未報告過。放射線菌是一惰性茵同時為非生殖道之正常菌種, 故感染主因極可能是長期使用子宮內避孕器。本例為一裝置銅T避孕器長達15年患者,因 下腹痛求診,經進一步詳查,於超音波及電腦斷層掃瞄上發現二個外觀不規則之硬體組成腫 瘤,分別位於雙側子宮附屬器,並侵犯膀胱組織。在懷疑為惡性腫瘤情況下,行剖腹探查術 及腫瘤切除術。因腫瘤深入膀胱組織並嚴重侵蝕雙側子宮附屬器,故行子宮併雙側子宮附屬 器切除同時做膀胱縫合術與上恥骨膀胱開口術。術中冷凍切片與術後病理報告皆證實為廣泛 性放射線菌病與急性發炎。術後給與抑制放射線菌之適切抗生素治療,現病人痊癒並於門診 追蹤中。 |
英文摘要 | A long-standing and widely used intrauterine contraceptive device has been associated with actinomycotic pelvic inflammation. The stealthy and chronic nature of the disease progresses and occasionally infiltrates adjacent organs. The non-specific symptoms of the disease, solid invasive mass and lack of marked leukocytosis, often suggest a malignancy. We present a case of advanced pelvic actinomycosis involving urogenital organs which has not been reported before. The behaviors of the disease, which mimic malignancy and urogenital manifestation, pose difficulties in diagnosis and management. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。