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A timely analysis is a must in order to prevent extensive therapeutic effort as surgery. However, a biopsy or drainage of abscesses and fistula's region might be needed not just as a diagnostic process included in the therapy. We report the actual situation of a 72-year-old girl with an abdominal mass initially misdiagnosed as a liposarcoma. A second biopsy of a skin lesion associated with stomach wall surface made the analysis of actinomycosis, avoiding a major medical procedure. The patie