IMR Press / EJGO / Volume 26 / Issue 6 / pii/2005259

European Journal of Gynaecological Oncology (EJGO) is published by IMR Press from Volume 40 Issue 1 (2019). Previous articles were published by another publisher on a subscription basis, and they are hosted by IMR Press on as a courtesy and upon agreement with S.O.G.

Case Report

Ovarian actinomycosis mimicking malignancy

Show Less
1 Gynecologic Oncology Clinic, ?ukurova University Medical Faculty, Adana (Turkey)
2 Pathology Clinic, ?ukurova University Medical Faculty, Adana (Turkey)
3 Pathology Clinic of Adana Numune Hospital, Adana (Turkey)
Eur. J. Gynaecol. Oncol. 2005, 26(6), 663–664;
Published: 10 December 2005

Objective: To emphasize the importance of frozen section diagnosis in the treatment of ovarian carcinoma and to remind physicians that it may mimic ovarian carcinoma and occur in women without intrauterine contraceptive devices(IUDs). Methods: Three cases operated on in Adana University Hospital between the year 2001-2003 with the diagnosis of ovarian actin-omycosis were reported. Case report: Three female patients who had never used IUDs, aged 37, 45 and 47, who presented with pelvic pain and tumoral masses in the pelvis were operated on with the initial diagnosis of ovarian carcinoma between the years 2001 and 2003. Intraoper­ative frozen-section diagnoses of the pelvic masses were actinomycosis. In the postoperative period the patients received long-term antibiotic therapy initially intravenously (15 days), and later orally with 4 g/day for three months. They were healthy without evidence of actinomycosis infection for two years after the treatment. Discussion: Pelvic actinomycosis is uncommon and may present a diagnostic dilemma because of an atypical clinical presenta­tion. The behavior of the disease, which mimics malignancy and urogenital manifestation, poses difficulties in diagnosis and management. Preoperative examinations could not establish the nature of the tumour. An initial diagnosis of ovarian carcinoma is usually considered in all cases. Surgeons should be aware of this infection to potentially spare women morbidity from excessive surgical procedures.

Ovarian malignancy
Back to top