Actinomyces israelii May Produce Vulvar Lesions Suspicious for Malignancy

[摘要] Background. We present a case ofActinomyces israeliicausing vulvar mass suspicious for malignancy in a postmenopausalwoman.Case. A 60 year-old woman presented due to a firm,nonmobile, 10 cm vulvar mass, which had been rapidlyenlarging for 5 months. The mass was painful, with localizedpruritus and sinus tracts oozing of serosanguinous fluid. Biopsyand cultures revealed a ruptured epidermal inclusion cystcontaining granulation tissue andActinomyces israelii.Conclusion.Actinomyces israeliimay produce vulvarlesions that are suspicious for malignancy. Thus, biopsies andcultures are both mandatory while evaluating vulvar massessuspicious for malignancy.

[学科分类] 妇产科学