Xanthogranulomatous Salpingo-Oophoritis Masquerading as an Ovarian Neoplasm: A Case Report
Xanthogranulomatous Salpingo-Oophoritis Masquerading as an Ovarian Neoplasm: A Case Report
复制标题
DOI：
10.1007/s40944-019-0267-4
复制
发表时间：
2019-03-01
影响因子：
0.4
通讯作者：
Gupta, Shashi
中科院分区：
文献类型：
--
作者：
Kaur, Baseerat;Verma, Manvi;Gupta, Shashi
目的女性生殖道黄色肉芽肿性炎症（Xanthogranulomatous inflammation，XGI）是一种病因和致病机制尚不清楚的慢性炎症性疾病。XGI已在多个器官中报道，最常见于肾脏和胆囊（Gray和Libbey in Arch Pathol Lab Med 125：260-263，[2001]; Korkes等人，Urology 71：178-180，[2008]。https://doi.org/10.1016/j.urology.2007.09.026).原发性XGI涉及女性生殖道已被报道在只有少数cases.Material和方法本研究报告的情况下，黄色肉芽肿性输卵管卵巢炎在一个60岁的绝经后妇女的印象，附件肿块的临床和放射学，从而伪装成卵巢恶性肿瘤。组织学结果显示XGI的特征。结论女性生殖道XGI的临床表现和影像学诊断与卵巢肿瘤相似，其影像学表现与卵巢肿瘤相似。虽然正确的诊断主要是通过组织学，提示术前诊断可以导致不太根治性手术。
Purpose Xanthogranulomatous inflammation (XGI) of female genital tract is a chronic inflammatory disease, aetiology and pathogenicity of which are yet unclear. XGI has been reported in multiple organs, most common in kidney and gall bladder (Gray and Libbey in Arch Pathol Lab Med 125:260-263, [2001]; Korkes et al. in Urology 71:178-180, [2008]. https://doi.org/10.1016/j.urology.2007.09.026). Primary XGI involving female genital tract has been reported in only few cases.Material and Method This study reports a case of xanthogranulomatous salpingo-oophoritis in a 60-year-old postmenopausal woman that gave impression of adnexal mass clinically and radiologically, thereby masquerading as an ovarian malignancy. Histopathological findings revealed characteristic features of XGI. The approach to such a case, differential diagnosis and review of literature are also discussed.Conclusion The clinical manifestations and diagnostic imaging of XGI of female genital tract can mimic ovarian neoplasm. Although a correct diagnosis is made chiefly through histology, a suggestive preoperative diagnosis can lead to less radical surgery.