Table 1.
Case report studies on pelvic actinomycosis mimicking advanced ovarian cancer
| Case report studies on pelvic actinomycosis mimicking advanced ovarian cancer | ||||
|---|---|---|---|---|
| Reference | Age (years) | Title | Duration of copper IUD (years) | Diagnosis/Management algorithm/complications |
| Gungor T et al. [3], 2013 (n = 1) | 43 | Pelvic actinomycosis: a disease that should not be overlooked in cases with suspected ovarian cancer | 7 | Explorative laparotomy and debulking surgery |
| Kim YS et al. [4], 2012 (n = 1) | 41 | Metastatic hepatic actinomycosis masquerading as distant metastases of ovarian cancer | 15 | Hepatic actinomycosis misdiagnosed as distant metastases of ovarian cancer, exploratory laparotomy with frozen section of pelvic mass, penicillin totalling 5 months |
| Ong C et al. [5], 2012 (n = 1) | 73 | Actinomyces turicensis infection mimicking ovarian tumour | No IUD | Pelvic mass and enlarged supraclavicular LN, non-diagnostic FNA, blood cultures positive for actinomyces, penicillin totalling 7 months |
| Pusiol T et al. [2], 2011 (n = 1) | 46 | Abdomino-pelvic actinomycosis mimicking malignant neoplasm | 3 | Uncomplicated explorative laparotomy and debulking surgery but incomplete staging, penicillin totalling 6 months |
| Hwang JH et al. [6], 2010 (n = 1) | 59 | Primary serous papillary carcinoma of the peritoneum mimicking pelvic actinomycosis: a case report and brief literature review | No IUD | Pelvic CT and MRI suggestive of pelvic actinomycosis. Full staging debulking surgery confirmed primary peritoneal carcinoma followed by adjuvant chemotherapy |
| Kumar N et al. [7], 2010 (n = 1) | 32 | Pelvic actinomycosis mimicking an advanced ovarian cancer | 2 | IUD removed 4 months prior to admission, uncomplicated explorative laparotomy and debulking surgery, incomplete staging |
| Lee YK et al. [8], 2008 (n = 1) | 42 | Pelvic actinomycosis with hydronephrosis and colon stricture simulating an advanced ovarian cancer | 8 | Imaging guided needle biopsy made correct nonsurgical diagnosis, antibiotic treatment, no surgery required |
| Akhan SE et al. [9], 2008 (n = 3) | 38, 37, 51 | Pelvic actinomycosis mimicking ovarian malignancy: three cases | >7 | Debulking surgeries in all cases, complete/incomplete staging, second case was complicated by need for colostomy and fascial necrosis |
| Kim HS et al. [10], 2007 (n = 1) | 47 | A case of pelvic actinomycosis with hepatic actinomycotic pseudotumor | 18 | FNA of hepatic tumour and explorative laparotomy of pelvis masses followed by penicillin totalling 4 months |
| Sehouli J et al. [11], 2006 (n = 1) | 35 | Actinomycotic inflammatory disease and misdiagnosis of ovarian cancer | 10 | Ureteric stenting followed by uncomplicated explorative laparotomy, patient received ampicillin and sulbactam totalling 6 weeks |
| Atay Y et al. [12], 2005 (n = 3) | 37, 45, 47 | Ovarian actinomycosis mimicking malignancy | No IUD | Explorative laparotomy and intraoperative frozen section diagnosis of actinomycosis, long-term penicillin totalling 3 months |
| Oztekin K et al. [13], 2004 (n = 1) | 49 | Pelvic actinomycosis in a postmenopausal patient with systemic lupus erythematosus mimicking ovarian malignancy; case report and review of literature | No IUD | Rare occurrence of actinomycosis with an autoimmune disease that predisposed to infections, patient had laparotomy |
| Koshiyama M et al. [14], 1999 (n = 1) | 52 | Ovarian actinomycosis complicated by diabetes mellitus simulating an advanced ovarian carcinoma | No IUD | MRI detected solid pelvic tumour mimicking advanced ovarian carcinoma invasive to bladder, rectum and uterus, patient denied initial explorative laparotomy, had neodjuvant chemotherapy followed by incomplete staging laparotomy and long-term penicillin, colostomy secondary to rectovaginal fistula |
| Hawnaur JM et al. [15], 1999 (n = 1) | 43 | Magnetic resonance imaging of actinomycosis presenting as pelvic malignancy | 10 | MRI confirmed regression of pelvic disease in response to antibiotic therapy |
| Kirova YM et al. [16], 1997 (n = 1) | 37 | IUD-associated pelvic actinomycosis: a rare disease mimicking advanced ovarian cancer; a case report | 4 | CT detected pelvic mass with liver metastases mimicking advanced ovarian carcinoma, exploratory laparotomy and debulking surgery, incomplete staging |
| Hoffman MS et al., [17], 1991 (n = 2) | N/A | Advanced actinomycotic pelvic inflammatory disease simulating gynecologic malignancy. A report of two cases. | Plastic IUCD, 7, 17 | Laparotomy and long-term penicillin, some resolution of the pelvic fibrosis |