TY - JOUR AU - Saramago, Sofia Modesto; Cominho, Joana Catarina; Proença, Sara Soares Marques; Conde, Pedro João Casado; Nunes, Filomena Maria Pinheiro TI - Pelvic Actinomycosis Mimicking Pelvic Malignancy TT - Actinomicose pélvica simulando neoplasia maligna pélvica SN - 0100-7203 SN - 1806-9339 PY - 2019 JO - Rev Bras Ginecol Obstet JF - Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics LA - EN VL - 41 IS - 07 SP - 463 EP - 466 ET - 2019/06/27 DA - 2019/07/25 KW - pelvic neoplasms KW - differential diagnosis KW - actinomycosis KW - intrauterine devices KW - anti-bacterial agents AB - Asymptomatic female genital tract colonization with Actinomyces spp is not uncommon, particularly among intrauterine device users. Pelvic actinomycosis is an extremely rare disease. The clinical picture can resemble an advanced ovarian malignancy. We report a case of pelvic actinomycosis mimicking ovarian malignancy diagnosed postoperatively. Preoperative diagnosis is possible if there is a high index of suspicion, obviating extensive surgery and preserving fertility, since long term antibiotic treatment can be completely effective. Pelvic actinomycosis should be included in the differential diagnosis of women presenting a pelvic mass, especially if there is intrauterine device use history. PB - Thieme Revinter Publicações Ltda DO - 10.1055/s-0039-1688462 UR - http://www.thieme-connect.com/products/ejournals/abstract/10.1055/s-0039-1688462 ER -