本报告描述了一名36岁女性盆腔肿块的IgG4相关疾病的独特病例。尽管CT和MR成像最初表明是恶性过程,包括乙状结肠镜检查和手术探查在内的进一步检查未发现恶性肿瘤.最终的病理表明是炎症过程,导致IgG4相关疾病的诊断。在接受适当的全身治疗后,患者的症状明显改善。该病例强调了当前影像学研究的局限性,并强调了在处理病因不确定的盆腔肿块时考虑各种潜在诊断的重要性。
This report describes a unique case of IgG4-related disease in a 36-year-old woman who presented with a pelvic mass. Although CT and MR imaging initially suggested a malignant process, further work-up including sigmoidoscopy and surgical exploration revealed no evidence of malignancy. The final pathology indicated an inflammatory process, leading to the diagnosis of IgG4-related disease. After receiving appropriate systemic treatment, the patient\'s symptoms significantly improved. This case underscores the limitations of current imaging studies and emphasizes the importance of considering a wide range of potential diagnoses when dealing with pelvic masses of uncertain etiology.