子宫内膜间质肉瘤超声误诊分析  

Analysis of Ultrasonic Misdiagnosis of Uterine Endometrial Stromal Sarcoma

作　　者：陈丽霞[1] 李鹏[2] 陈顺平[1] 朱雪莲[1] 

机构地区：[1]温州医学院附属第一医院超声科超声科,浙江温州325000 [2]温州医学院附属第一医院病理科,浙江温州325000

出　　处：《中国医学影像学杂志》2010年第4期329-331,共3页Chinese Journal of Medical Imaging

摘　　要：目的:探讨子宫内膜间质肉瘤的超声表现并对其超声误诊原因进行分析。材料和方法:对14例经手术及病理证实的子宫内膜间质肉瘤患者声像图进行回顾性分析。结果:根据超声所见病变分为3型。Ⅰ型:宫腔型(n=8),Ⅱ型:宫壁型(n=3),Ⅲ型:宫腔及宫壁型(n=3)。6例(42.9%)误诊为子宫良性病变[子宫肌瘤(肌壁间或黏膜下)、子宫腺肌症合并腺肌瘤或肌瘤];4例(4/14)误诊为子宫内膜癌,4例诊断为子宫恶性肿瘤。结论:子宫内膜间质肉瘤声像图缺乏特异性是误诊的主要原因,不同分型声像图应与相应疾病进行鉴别,并结合临床资料,可以提高对该病的诊断符合率。Purpose To evaluate the sonographic features of endometrial stromal sarcoma （ESS） and analysis the causes of misdiagnosis. Materials and Methods 14 cases confirmed by surgery and pathology of ESS patients were analyzed retrospectively. Results The ultrasound findings of ESS to be divided into three types： Ⅰ ： central cavity mass （n=8）, Ⅱ ： myometrial mass （n=3）, Ⅲ： central cavity and myometrial mass （n=3）. Six cases （6 / 14） were misdiagnosed as benign uterine lesions; four cases were misdiagnosed as endometrial cancer. Conclusion ESS lack of specificity ultrasonography manifestation is the main reason for misdiagnosis. Combined with clinical information is helpful for the diagnosis of ESS.

关 键 词：超声检查 多普勒 彩色 肉瘤 子宫内膜间质 误诊 

分 类 号：R737.330.451[医药卫生—肿瘤]