摘要
盆腔结核是由结核分枝杆菌引起的女性盆腔炎症,是慢性盆腔炎和不孕症的常见原因。由于盆腔结核可引起腹盆腔钝性疼痛、腹胀等特征与晚期上皮性卵巢癌相似,加之肺外结核没有特异的临床特征或影像学表现可以明确诊断,因此盆腔腹膜结核很容易与腹膜癌和晚期上皮性卵巢癌混淆。分析1例晚期上皮性卵巢癌患者,因卵巢占位组织穿刺病理及腹水脱落细胞学检查均未查见肿瘤细胞,遂行结核鉴别检查,患者结核菌素试验和结核分枝杆菌γ干扰素均为阳性,诊断为盆腔结核,后经病理证实为上皮性卵巢癌。对本病例的诊治过程进行总结,以期为临床处理晚期上皮性卵巢癌与盆腔结核诊断困难的病例积累一定经验。
Pelvic tuberculosis is a form of female pelvic inflammation caused by Mycobacterium tuberculosis,which is a common cause of chronic pelvic inflammation and infertility.The characteristics of abdominal and pelvic blunt pain and abdominal distension caused by pelvic tuberculosis are similar to those of advanced epithelial ovarian cancer.And there are no specific clinical or imaging manifestations of extrapulmonary tuberculosis.The above reasons lead to pelvic peritoneal tuberculosis easily confused with peritoneal carcinoma and advanced epithelial ovarian cancer.In this paper,we analyzed a case of advanced epithelial ovarian cancer.Because no tumor cells were found in ovarian space lesion tissue puncture pathology and ascites exfoliative cytology,examination of tuberculosis was performed.The patient was misdiagnosed as pelvic tuberculosis based on positive tuberculin test and Mycobacterium tuberculosis interferon-γ,but later pathology confirmed the presence of epithelial ovarian cancer.We summarized the diagnosis and treatment process of this case in order to accumulate experiences for the clinical diagnosis and treatment of advanced epithelial ovarian cancer and pelvic tuberculosis.
作者
盖敏雪
王洪庆
王玉佳
李玲玲
李长忠
Min-xue;WANG Hong-qing;WANG Yu-jia;LI Ling-ling;LI Chang-zhong(Shandong University,Jinan 250000,China;Shandong Provincial Hospital,Jinan 250000,China;Qilu Medical University,Jinan 250000,China;Caoxian County Hospital,Heze 274000,Shandong Province,China;Department of Obstetrics and Gynecology,Peking University Shenzhen Hospital,Shenzhen 518036,Guangdong Province,China)
出处
《国际妇产科学杂志》
CAS
2024年第1期78-81,共4页
Journal of International Obstetrics and Gynecology
基金
济南市科技计划项目(202019161)。
关键词
卵巢肿瘤
盆腔炎性疾病
结核
误诊
诊断
鉴别
病例报告
Ovarian neoplasms
Pelvic inflammatory disease
Tuberculosis
Diagnostic errors
Diagnosis,differential
Case reports
