子宫体未发育、单侧卵巢和单侧输卵管缺如合并单侧卵巢无性细胞瘤一例

发布时间：2018-02-05 03:55

本文关键词： 无性细胞瘤单侧输卵管混合回声包块卵巢低混杂信号斑点状子宫体下腹压痛边缘清晰腹肌紧张　出处：《临床放射学杂志》2017年12期 　论文类型：期刊论文

【摘要】：正患者女,15岁。3天前无明显诱因出现下腹痛,呈间断性隐痛。入院10小时前自觉腹痛加剧,下腹呈持续性钝痛,伴恶心、呕吐及尿痛。无发热、腹胀及腹泻。月经史:未来潮。专科检查:腹肌紧张,下腹压痛及反跳痛阳性,盆腔可触及一约10 cm×12 cm大小包块。妇科彩超:盆腔混合回声包块,性质待定。MRI表现:盆腔内可见一大小约7.5 cm×8.5cm肿块,其边缘清晰,并见一低信号包膜;病灶在T1WI呈低信号,其内见斑点状较高信号;T2WI呈高低混杂信号,DWI呈粗线状及斑点状高低混合信号(图1~4)。手术所见:经阴道探查:宫颈及宫口可见,探针探查宫腔深约4
[Abstract]:There was no obvious inducement of lower abdominal pain, which was intermittent pain. Ten hours before admission, the abdominal pain was aggravated, the lower abdomen was persistent blunt pain, accompanied by nausea, vomiting and urinary pain. No fever was found. Abdominal distension and diarrhea. Menstrual history: future tide. Special examination: abdominal tension, lower abdominal tenderness and rebound pain positive. The pelvic cavity can reach a mass of about 10 cm 脳 12 cm. Gynecological ultrasound: pelvic mixed echo mass. Character to be determined. MRI findings: a mass of about 7.5 cm 脳 8.5 cm in size was seen in the pelvic cavity with a distinct margin and a hypointense capsule. The lesions showed low signal intensity on T1WI and high signal intensity in the lesions. T2WI showed high and low mixed signal. DWI showed thick linear and speckle mixed signal (fig. 1). Surgical findings: transvaginal exploration: cervix and uterine orifice visible, probe probe depth of uterine cavity about 4.
【作者单位】：青海仁济医院放射科;
【分类号】：R445.2;R711.1;R737.31
【正文快照】： 呈高低混杂信号。DWI呈粗白线状高胞浆浅或透明。瘤细胞团巢之间有薄(+),OCT4(+),Sall4(+),Vim(+患者女,15岁。3天前无明显诱因出现下腹痛,呈间断性隐痛。入院10小时前自觉腹痛加剧,下腹呈持续性钝痛,伴恶心、呕吐及尿痛。无发热、腹胀及腹泻。月经史:未来潮。专科检查:腹肌紧

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