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Iranian Journal of Nuclear Medicine، جلد ۳۳، شماره ۱، صفحات ۶۱-۶۳
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عنوان انگلیسی Pelvic actinomycosis masquerading as sarcoma in a hysterectomized woman: A comprehensive case study
چکیده انگلیسی مقاله Pelvic actinomycosis, a chronic and invasive condition caused by Actinomyces spp., often mimics malignancies, creating diagnostic challenges. This report details the case of a hysterectomized woman presenting with vaginal bleeding, intense pelvic pain, constipation, and weight loss. Initial assessments suggested sarcoma due to a firm, fixed mass in the right pelvis with vaginal infiltration. Imaging techniques, such as contrast-enhanced Computerized Tomography (CECT) of the abdomen and pelvis, and [18F]FDG Positron Emission Tomography Computed Tomography (PET/CT scan), confirmed a solid cystic pelvic mass infiltrating surrounding structures. Cystoscopy showed bladder mucosa infiltration; however, biopsies were inconclusive for malignancy but indicated actinomycosis. Treatment with oral Penicillin G significantly alleviated pain, restored bowel function, and led to weight gain, along with radiological improvements.
کلیدواژه‌های انگلیسی مقاله Pelvic actinomycosis, [18F]FDG PET/CT scan, Malignancy mimic
نویسندگان مقاله Madan Gopal Vishnoi |
Department of Nuclear Medicine, Eastern Command Hospital, Kolkata, India

Geetu Bhandoria |
Department of Obstetrics and Gynecology, Eastern Command Hospital, Kolkata, India

Vaibhav Jain |
Department of Nuclear Medicine, Central Command Hospital, Lucknow, India

Richa Ranjan |
Department of Pathology, Eastern Command Hospital, Kolkata, India

Anurag Jain |
Department of Nuclear Medicine, Central Command Hospital, Lucknow, India

Vikrant Balan |
Department of Nuclear Medicine, Central Command Hospital, Lucknow, India

نشانی اینترنتی http://irjnm.tums.ac.ir/article_40380_58a3a342d8b0140b2775d9fdd8bb2b65.pdf
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