卵巢甲状腺肿的超声表现及病理特征对照

发布时间：2018-06-15 21:17

本文选题：卵巢甲状腺肿 + 畸胎瘤　；参考：《中国医学科学院学报》2015年03期

【摘要】：目的探讨卵巢甲状腺肿的超声表现及对应的病理基础。方法回顾性分析2005年1月至2014年12月在北京协和医院经手术病理证实的72例卵巢甲状腺肿患者的超声表现与其病理特征对照。结果 72例卵巢甲状腺肿患者中良性卵巢甲状腺肿71例共73个病灶,恶性卵巢甲状腺肿1例1个病灶。73个良性卵巢甲状腺肿超声声像图表现:所有病灶均边界清晰,45个(61.6%)呈多房囊性或囊实性,49个(67.1%)形状不规则,28个(38.4%)病灶囊性成分内部可见实性结节状中等或中高回声突起,36个(49.3%)病灶内可探及血流信号。1个恶性卵巢甲状腺肿超声声像图表现为多房囊实性,囊壁及隔上可见多个结节状中高回声,分隔及实性成分可见血流。结论卵巢甲状腺肿超声表现多样,如肿瘤呈多房囊性或囊实性,边界清晰,囊内见结节状中等或中高回声同时伴血流信号,应考虑卵巢甲状腺肿的可能。
[Abstract]:Objective to study the ultrasonographic findings and corresponding pathological basis of ovarian goiter. Methods the ultrasonographic findings of 72 patients with ovarian goiter confirmed by operation and pathology from January 2005 to December 2014 in Peking Union Hospital were retrospectively analyzed and compared with their pathological features. Results there were 73 lesions in 71 cases of benign ovarian goiter in 72 cases of ovarian goiter. Malignant ovarian goiter (1 case, 1 lesion). 73 benign ovarian goiter (sonographic manifestations: all lesions were well defined, 45 lesions were clear, 45 lesions were cystic or solid, 49 cases were irregular in shape, 28 cases had 38.4%) cystic components. There were solid nodular middle or medium hyperechoic protuberances, 36 lesions with 49.3%) blood flow signals could be detected in the lesions. 1 malignant ovarian goiter showed multilocular cystic solidity on sonography. Hyperechoic nodules were seen on the cyst wall and septum, and blood flow was observed in septal and solid components. Conclusion the sonographic manifestations of ovarian goiter are various, such as the tumor is multilocular cystic or cystic, the boundary is clear, the nodular medium or high echo is seen in the cyst with blood flow signal, the possibility of ovarian goiter should be considered.
【作者单位】：中国医学科学院北京协和医学院北京协和医院超声医学科;中国医学科学院北京协和医学院北京协和医院病理科;
【基金】：卫生部行业科研专项项目(201202012) 2013年北京协和医院中青年科研基金(I104170)~~
【分类号】：R445.1;R737.31

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