PDF(Pubmed)
Abstract：
This report describes the case of a 54-year-old female who presented with the constitutional symptoms of lethargy, weight loss, and asthenia. She had been extensively investigated for possible gynaecological malignancy but with no definitive outcome achieved. The symptoms were persistent and, partly due to occurring during the coronavirus disease 2019 (COVID-19) pandemic, a decision was made to progress with surgical management. Following an oncology multidisciplinary meeting, a decision was made for a total abdominal hysterectomy and bilateral salpingo-oophorectomy. Intra-operatively, there was an incidental finding of an extensive tumour infiltrating the liver, colon, anterior abdominal wall and urinary bladder. A surgical resection with ileostomy was performed on suspicion of an underlying malignancy. Unexpectedly, the histopathological diagnosis revealed actinomycosis. Following this discovery, our entire management plan was altered, and the patient was treated with a prolonged course of antibiotics and recovered well.
摘要：
本报告描述了一名54岁女性的案例，她表现出嗜睡的体质症状，减肥,和虚弱。对她进行了广泛的妇科恶性肿瘤调查，但未取得明确的结果。症状是持续的，部分原因是在2019年冠状病毒病(COVID-19)大流行期间发生的，我们决定在手术管理方面取得进展.在肿瘤学多学科会议之后，我们决定进行腹式全子宫切除术和双侧附件卵巢切除术.术中,偶然发现一个广泛的肿瘤浸润肝脏，结肠,前腹壁和膀胱。怀疑有潜在的恶性肿瘤，进行了回肠造口术的手术切除。出乎意料的是,组织病理学诊断显示放线菌病。在这一发现之后,我们的整个管理计划都被改变了,患者接受了延长疗程的抗生素治疗，恢复良好。
