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Actinomycosis mimicking pelvic malignancy
B A Snowman1, V K Malviya, W Brown
1Wayne State University School of Medicine, Division of Gynecologic Oncology, Hutzel Hospital, Detroit, MI 48201.
Abstract:
Pelvic actinomyces, usually a complication of an intrauterine device (IUD), is uncommon and may present a diagnostic dilemma because of an atypical clinical presentation. We present a patient with a cervical tumor, extensive parametrial induration with involvement of the posterior bladder wall, and regional lymph nodes which mimicked advanced cervical cancer and presented a significant diagnostic problem.
Insights
Pelvic actinomyces is a rare complication of intrauterine devices (IUDs) that can mimic advanced cervical cancer due to unusual symptoms. This case highlights the diagnostic challenges posed by atypical presentations of this infection.
Area of Science:
- Gynecologic pathology
- Infectious diseases
Background:
- Pelvic actinomycosis is an uncommon infection, often associated with intrauterine device (IUD) use.
- It can present with varied clinical and imaging findings, posing diagnostic challenges.
Observation:
- A patient presented with a cervical tumor and extensive parametrial induration, involving the posterior bladder wall and regional lymph nodes.
- These findings clinically mimicked advanced cervical cancer.
Findings:
- The patient's presentation created a significant diagnostic dilemma due to the atypical manifestation of pelvic actinomycosis.
- Histopathological examination is crucial for definitive diagnosis, differentiating it from malignancy.
Implications:
- Awareness of atypical presentations of pelvic actinomycosis is essential for clinicians.
- Prompt diagnosis and appropriate treatment can prevent misdiagnosis and unnecessary aggressive interventions for suspected cervical cancer.