卵巢甲状腺肿的超声表现及病理特征对照  

Sonographic and Pathologic Features of Struma Ovarii

作　　者：杨倩[1] 杨筱[1] 刘真真[1] 姜玉新[1] 李建初[1] 苏娜[1] 陈博[2] 张波[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医学科,北京100730 [2]中国医学科学院北京协和医学院北京协和医院病理科,北京100730

出　　处：《中国医学科学院学报》2015年第3期309-314,共6页Acta Academiae Medicinae Sinicae

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)~~

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。Objective To investigate the sonographic features of struma ovarii and its corresponding histopathologic findings. Methods The sonographic and histopathological features of 72 patients with histopathologically comfirmed struma ovarii who were treated in Peking Union Medical College Hospital from January 2005 to December 2014 were retrospectively reviewed. Results Of these 72 patients,71 had benign struma ovarii（ 73lesions） and one patient had malignant struma ovarii（ 1 lesion）. On ultrasonography,all the 73 benign lesions had distinct margin,45（ 61. 6%） had multilocular cystic or cystic-solid mass,49（ 67. 1%） had irregular shape,and 28（ 38. 4%） had nodular solid protrusions in the cystic areas. On the color Doppler flow imaging,36（ 49. 3%） lesions had blood flow signals. The ultrasonographic features of the malignant struma ovarii lesion were multilocular cystic-solid mass with several nodular solid protrusions in the cysic areas; on the colorDoppler flow imaging,blood flow signals were visible within septa and solid areas. Conclusions The sonographic features of struma ovarii are diverse. If ultrasonography reveals multilocular cystic or cystic-solid mass with distinct margin and isoechoic or hyperechoic nodular solid protrusions in the cystic areas with visible blood flow signals,the diagnosis of struma ovarii should be considered.

关 键 词：卵巢甲状腺肿 畸胎瘤 超声检查 

分 类 号：R445.1[医药卫生—影像医学与核医学]