原发性卵巢类癌的临床及超声声像图特点  

Clinical and ultrasonic features of primary ovarian carcinoid tumors

作　　者：王铭[1] 戴晴[1] 刘真真[1] 苏娜[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院超声诊断科,北京100730

出　　处：《中国医学影像技术》2012年第5期970-973,共4页Chinese Journal of Medical Imaging Technology

摘　　要：目的分析原发性卵巢类癌(POCTs)的临床及声像图特点。方法回顾性分析我院经手术病理证实的10例POCTs患者的临床资料及超声表现。结果 7例患者因盆腔包块就诊,部分患者出现月经不规律、腹痛或便秘等症状,4例患者血清CA125升高。病灶均为单侧发生。10例POCTs中,8例肿物形态规则,边界清晰;2例为实性,7例为囊实性,1例为囊性,壁厚薄不均。6例患者接受CDFI检查,其中4例可见丰富的血流信号,1例可见少许血流信号,1例未见明确血流信号。全部病例的手术分期均为国际妇产科联合会Ⅰ期。结论 POCTs患者临床表现与实验室检查缺乏特异性,声像图上多表现为形态规则、边界清晰的囊实性包块。超声检查旨在发现附件肿物,确诊需依赖病理结果。Objective To analyze the clinical and ultrasonic features of primary ovarian carcinoid tumors（POCTs）.Methods Ten patients with POCTs confirmed with pathology were enrolled.The clinical and ultrasonic appearances of POCTs were retrospectively reviewed.Results Seven patients with POCTs complained pelvic mass,menstrual irregularity,abdominal pain and constipation also occurred in some patients,while 4 patients had serum CA125 elevation.POCTs lesions were all single and 8 of them had regular shape.There were 2 solid,7 mixed（solid and cystic） and 1 cystic lesions with irregular wall.Six cases underwent color Doppler ultrasonography,4 tumors were found with abundant blood,1 with a little flow and 1 without blood flow signal.The surgical stages were all classification Ⅰ of International Federation of Gynecology and Obstetrics.Conclusion POCT is a disease without specific clinical manifestation,usually presenting as mixed tumors with regular shape.The diagnostic ability of ultrasound for POCTs is limited,and the final diagnosis relies on pathological results.

关 键 词：卵巢肿瘤 类癌瘤 超声检查 

分 类 号：R737.31[医药卫生—肿瘤] R445.1[医药卫生—临床医学]