AI Article Synopsis

  • This study aimed to explore the effectiveness of clinical cytology in diagnosing pelvic actinomycosis before surgery.
  • Nine patients already diagnosed with this condition provided samples from their endometrium and cervix, which were then analyzed for the presence of actinomyces through various methods including cytology, pathology, and cultures.
  • The results showed that cytology had a 77.7% detection rate for actinomyces, significantly higher than the 50% from pathology and 11.1% from cultures, indicating that cytology could be a valuable tool in preoperative diagnosis.

Article Abstract

Background: The purpose of this work was to investigate whether clinical cytology could be useful in the preoperative diagnosis of pelvic actinomycosis.

Methods: This study involved the prospective collection of samples derived from the endometrium and the uterine cervix, and retrospective data analysis. Nine patients with clinically diagnosed pelvic actinomycosis were enrolled. The clinical and hematological characteristics of patients were recorded, and detection of actinomyces was performed by cytology, pathology, and bacteriological culture of samples and by imprint intrauterine contraceptive device (IUD) cytology.

Results: The detection rate of actinomyces was 77.7% by combined cervical and endometrial cytology, 50.0% by pathology, and 11.1% by bacterial culture.

Conclusion: The higher detection rate of actinomyces by cytology than by pathology or bacteriology suggests that careful cytological examination may be clinically useful in the preoperative diagnosis of pelvic actinomycosis.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3469226PMC
http://dx.doi.org/10.2147/IJWH.S35573DOI Listing

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