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KMID : 1137020080190020145
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Journal of Gynecologic Oncology
2008 Volume.19 No. 2 p.145 ~ p.149
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Case Report : Pelvic actinomycosis with hydronephrosis and colon stricture simulating an advanced ovarian cancer
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Lee Sung-Ha
Bae Jae-Man
Park Yeon-Jin
Park Sang-Yoon
Jung Seung-Yong
Kim Min-Jung
Lee Hee-Jeong
Kim Sa-Jin
Park Jong-Sup
Hur Soo-Young
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Abstract
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Pelvic actinomycosis is an uncommon disease in humans. It has nonspecific and variable clinical features, and thus it
is difficult to diagnose. Moreover, appropriate management is delayed or overlooked because it can sometimes simulate advanced ovarian cancer. We report a case of pelvic actinomycosis which manifested with hydronephrosis and bowel stricture, lymph node enlargement and increased level of tumor marker caused by a large pelvic mass. Since this case showed clinical findings mimicking an advanced ovarian carcinoma, it was surgically diagnosed as actinomycosis after neoadjuvant chemotherapy.
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KEYWORD
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Actinomycosis, Ovarian neoplasms, Hydronephrosis
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