Pelvic actinomycosis: A disease that should not be overlooked in cases with suspected advanced ovarian cancer

Güngör, Tayfun; Toğrul, Cihan; Başer, Eralp; Şirvan, Levent; Erdoğan, Kıvılcım Eren

doi:10.3109/01443615.2012.747497

Cited by 4 publications

(7 citation statements)

References 7 publications

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“…PA accounts for about 3% of all actinomycotic infections and is commonly associated with IUD use. Ovarian involvement is distinctly uncommon . In our series, all of the women with PA had an IUD and/or had history of IUD use.…”

Section: Discussionmentioning

confidence: 63%

“…Tuberculosis, echinococcosis and actinomycosis are infections that have a propensity to spread to the adnexa and pelvic peritoneal surfaces. Their clinical manifestations and imaging findings can mimic ovarian cancer and create a diagnostic dilemma in gynaecological oncology . Consequently, some women can be subjected to an unnecessary explorative laparotomy with an erroneous diagnosis of advanced ovarian cancer .…”

Section: Introductionmentioning

confidence: 99%

“…Their clinical manifestations and imaging findings can mimic ovarian cancer and create a diagnostic dilemma in gynaecological oncology . Consequently, some women can be subjected to an unnecessary explorative laparotomy with an erroneous diagnosis of advanced ovarian cancer . Although pelvic tuberculosis (PT) and pelvic echinococcosis (PE) are common in the nonindustrialised countries, they can be detected in industrialised countries because of increases in global travel and immigrant populations .…”

Section: Introductionmentioning

confidence: 99%

“…Although pelvic tuberculosis (PT) and pelvic echinococcosis (PE) are common in the nonindustrialised countries, they can be detected in industrialised countries because of increases in global travel and immigrant populations . There is a growing amount of information concerning PT, PE and pelvic actinomycosis (PA) separately as imitators of ovarian cancer . However; at the time of our review, no published study had analysed and discussed these three nontumoural infectious conditions together in the pathological and gynaecologic oncological literature.…”

Section: Introductionmentioning

confidence: 99%

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Pelvic tuberculosis, echinococcosis, and actinomycosis: Great imitators of ovarian cancer

Ertaş

Güngördük

Ozdemir

et al. 2014

Aust N Z J Obstet Gynaecol

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Pelvic tuberculosis, echinococcosis and actinomycosis must be included in the differential diagnosis of women suspected to have ovarian cancer with or without ascites and elevated CA-125 levels, especially in those living in endemic countries. During surgical exploration, frozen section analysis is important to avoid unnecessarily prolonged surgical procedures and retroperitoneal lymphadenectomy, which increases morbidity in women with these curable pelvic infectious conditions.

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Section: Discussionmentioning

confidence: 63%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Pelvic tuberculosis, echinococcosis, and actinomycosis: Great imitators of ovarian cancer

Ertaş

Güngördük

Ozdemir

et al. 2014

Aust N Z J Obstet Gynaecol

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“…Thus the clinical findings of pelvic actinomycosis are similar to those of tubo-ovarian abscesses or pelvic malignancies. In addition to this there are reports that depict actinomycosis to simulate pelvic malignancies particularly advanced ovarian carcinoma (Gungor et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Prolonged Aminoglycoside Treatment for Pelvic Inflammatory Disease Associated Ovarian Carcinoma

Shanmughapriya¹,

Lency

Kavitha³

et al. 2016

Trends in Medical Research

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Pelvic actinomycosis constitutes one of the curiosities of gynecology. In this present investigation the presence of actinomycetes infection among Intrauterine device (IUD) users and its correlation correlated with the development of Pelvic Inflammatory Disease (PID) and ovarian carcinoma was studied. Endocervical swabs were obtained from ovarian carcinoma, IUD users, non-users and processed to isolate actinomycetes on actinomycetes isolation agar. The isolation rate was found to be increased among IUD users who were clinically diagnosed to have PID (52.9%) followed by ovarian carcinoma cases who were prior users of IUD (44.4%). Compared to healthy non-IUD users, IUD users with PID experienced a 158 fold statistically significant increased risk of actinomycetes infection (OR = 158.63, 95% CI = 17.84, 161.11) followed by ovarian carcinoma patients with IUDs (OR = 112.80, 95% CI = 10.59, 120.02). The isolates showed high resistance against penicillin, clindamycin and erythromycin and low resistance against tetracycline, linezolid and gentamycin. The use of IUDs facilitates the colonization by actinomycetes which in turn lead to PID and pelvic actinomycosis. Further the pelvic actinomycosis simulates pelvic malignancies. If chronic actinomycetes infection are encountered, the patients should be given long term therapy with aminoglycoside antibiotics and if a pelvic mass is evident aggressive and prolonged antibiotic therapy with surgical intervention is required.

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Differentiating pelvic actinomycosis from advanced ovarian cancer: a report of two cases, management reflections and literature review

Laios

Terekh

Majd

et al. 2014

gynaecol oncol res pract

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Pelvic actinomycosis comprises a rare, subacute to chronic bacterial infection characterised by suppurative and granulomatous inflammation. Diagnosis is difficult as it may simulate pelvic malignancies. Laboratory and radiological findings are non-specific. We reported on 2 cases of pelvic actinomycosis mimicking ovarian malignancy with different management approaches that lead to opposite outcomes. We reviewed the literature on pelvic actinomycosis imitating ovarian cancer with a focus on its surgical management. Despite agreement on the duration of antibiotic therapy following surgical management, consensus regarding surgical approach was rather equivocal. We concluded that pelvic actinomycosis should be strongly suspected in women with presumed ovarian cancer of atypical presentation and a history of intrauterine devices (IUD).Electronic supplementary materialThe online version of this article (doi:10.1186/2053-6844-1-5) contains supplementary material, which is available to authorized users.

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Pelvic actinomycosis: A disease that should not be overlooked in cases with suspected advanced ovarian cancer

Cited by 4 publications

References 7 publications

Pelvic tuberculosis, echinococcosis, and actinomycosis: Great imitators of ovarian cancer

Pelvic tuberculosis, echinococcosis, and actinomycosis: Great imitators of ovarian cancer

Prolonged Aminoglycoside Treatment for Pelvic Inflammatory Disease Associated Ovarian Carcinoma

Differentiating pelvic actinomycosis from advanced ovarian cancer: a report of two cases, management reflections and literature review

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