卵巢成熟囊性畸胎瘤误诊或漏诊CT表现分析  

The analysis of CT manifestations of misdiagnosed or missed ovarian cystic mature teratomas

作　　者：张继军[1] 王隽[2] 苏明[1] 邱晓丽[1] 张建[1] 

机构地区：[1]阿克苏地区第一人民医院影像中心,新疆阿克苏843000 [2]阿克苏地区第一人民医院消化内科,新疆阿克苏843000

出　　处：《实用放射学杂志》2017年第12期1895-1897,共3页Journal of Practical Radiology

摘　　要：目的 分析卵巢成熟囊性畸胎瘤误诊或漏诊CT表现，提高其诊断准确性。方法 回顾性分析经手术病理证实的145例卵巢成熟囊性畸胎瘤患者的CT图像，其中29例误诊或漏诊。结果 5例卵巢甲状腺肿误诊为囊腺癌；7例囊性成熟性畸胎瘤误诊为囊肿2例、内膜异位囊肿2例和囊腺瘤3例；17例囊性成熟性畸胎瘤漏诊，其中并发蒂扭转7例，感染4例，出血3例，内膜异位囊肿、浆液性囊腺瘤和结核各1例。结论 了解卵巢成熟囊性畸胎瘤误诊或漏诊不典型CT表现有助于进一步提高诊断准确性，对术前诊断并发症有一定意义。Objective To analyze CT findings of misdiagnosed or missed ovarian cystic mature teratomas to improve the diagnosis. Methods CT images of 145 cases were retrospectively reviewed. Among them, 29 cases of ovarian cystic teratomas were misdiagnosed or missed.Results Five cases of struma ovarii were diagnosed as cyctadenocarcinoma,7 cases of cystic mature teratoma were misdiagnosed as cyst in 2 cases, ovarian endometrial cyst in 2 cases and cystadenoma in 3 cases. 17 cases of cystic mature teratoma weremissed diagnosis, in which there were torsion in 7 cases, infection in 4 cases, bleeding in 3 cases, endometriosis cyst, serous cystadenoma and tuberculosis in 1 case respectively.Conclusion Understanding the atypical misdiagnosed or missed CT manifestation of ovarian cystic mature teratomas permits a more specific and accurate diagnosis, which may be useful for preoperative diagnosis.

关 键 词：卵巢 畸胎瘤 计算机体层成像 

分 类 号：R737.11[医药卫生—肿瘤] R814.42[医药卫生—临床医学]