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Primary vesical actinomycosis: a case diagnosed by multiple transabdominal needle biopsies.

Primary vesical actinomycosis is an extremely rare disease. In most cases it is misdiagnosed as vesical or urachal tumor and usually diagnosed through post-operative pathologic confirmation. Here we report a case of primary vesical actinomycosis confirmed by preoperative repeated multiple transabdom...

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Autores principales: Lee, Kyoung Rae, Ko, Young Su, Yu, Jeong Woo, Yoon, Cheol Yong, Kim, Chul Hwan, Yoon, Duck Ki
Formato: Texto
Lenguaje:English
Publicado: Korean Academy of Medical Sciences 2002
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3054818/
https://www.ncbi.nlm.nih.gov/pubmed/11850601
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author Lee, Kyoung Rae
Ko, Young Su
Yu, Jeong Woo
Yoon, Cheol Yong
Kim, Chul Hwan
Yoon, Duck Ki
author_facet Lee, Kyoung Rae
Ko, Young Su
Yu, Jeong Woo
Yoon, Cheol Yong
Kim, Chul Hwan
Yoon, Duck Ki
author_sort Lee, Kyoung Rae
collection PubMed
description Primary vesical actinomycosis is an extremely rare disease. In most cases it is misdiagnosed as vesical or urachal tumor and usually diagnosed through post-operative pathologic confirmation. Here we report a case of primary vesical actinomycosis confirmed by preoperative repeated multiple transabdominal biopsies. The patient was a 49-yr-old woman who presented with frequency, dysuria, and intermittent gross hematuria for 2 months. Computed tomography and cystoscopic examination showed broad-based, edematous, and protruding mass at the dome and anterior portion of the bladder. The clinical and imaging findings of the patient initially suggested vesical malignancy. Transurethral resection and multiple biopsies of the mass were performed. Pathologic examination demonstrated fibrosis with chronic inflammation. We performed repeated transabdominal multiple needle biopsies for further pathologic confirmation. Histopathologic examination demonstrated typical sulfur granules, which were consistent with actinomycosis.
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spelling pubmed-30548182011-03-15 Primary vesical actinomycosis: a case diagnosed by multiple transabdominal needle biopsies. Lee, Kyoung Rae Ko, Young Su Yu, Jeong Woo Yoon, Cheol Yong Kim, Chul Hwan Yoon, Duck Ki J Korean Med Sci Research Article Primary vesical actinomycosis is an extremely rare disease. In most cases it is misdiagnosed as vesical or urachal tumor and usually diagnosed through post-operative pathologic confirmation. Here we report a case of primary vesical actinomycosis confirmed by preoperative repeated multiple transabdominal biopsies. The patient was a 49-yr-old woman who presented with frequency, dysuria, and intermittent gross hematuria for 2 months. Computed tomography and cystoscopic examination showed broad-based, edematous, and protruding mass at the dome and anterior portion of the bladder. The clinical and imaging findings of the patient initially suggested vesical malignancy. Transurethral resection and multiple biopsies of the mass were performed. Pathologic examination demonstrated fibrosis with chronic inflammation. We performed repeated transabdominal multiple needle biopsies for further pathologic confirmation. Histopathologic examination demonstrated typical sulfur granules, which were consistent with actinomycosis. Korean Academy of Medical Sciences 2002-02 /pmc/articles/PMC3054818/ /pubmed/11850601 Text en
spellingShingle Research Article
Lee, Kyoung Rae
Ko, Young Su
Yu, Jeong Woo
Yoon, Cheol Yong
Kim, Chul Hwan
Yoon, Duck Ki
Primary vesical actinomycosis: a case diagnosed by multiple transabdominal needle biopsies.
title Primary vesical actinomycosis: a case diagnosed by multiple transabdominal needle biopsies.
title_full Primary vesical actinomycosis: a case diagnosed by multiple transabdominal needle biopsies.
title_fullStr Primary vesical actinomycosis: a case diagnosed by multiple transabdominal needle biopsies.
title_full_unstemmed Primary vesical actinomycosis: a case diagnosed by multiple transabdominal needle biopsies.
title_short Primary vesical actinomycosis: a case diagnosed by multiple transabdominal needle biopsies.
title_sort primary vesical actinomycosis: a case diagnosed by multiple transabdominal needle biopsies.
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3054818/
https://www.ncbi.nlm.nih.gov/pubmed/11850601
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