妊娠期合并卵巢上皮源性肿瘤的影像表现及临床分析  

Imaging features and clinical analysis of ovarian epithelial tumors during pregnancy

作　　者：孟维昂 宋亭[1] 李心怡 汤卓鹏 颜晓敏 刘琼厅 MENG Wei'ang;SONG Ting;LI Xinyi;TANG Zhuopeng;YAN Xiaomin;LIU Qiongting(Department of Radiology,the Third Affiliated Hospital of Guangzhou Medical University,Guangzhou 510000,China)

机构地区：[1]广州医科大学附属第三医院放射科,广东广州510000

出　　处：《实用放射学杂志》2024年第5期760-763,共4页Journal of Practical Radiology

摘　　要：目的探讨妊娠期合并卵巢上皮源性肿瘤的影像表现及临床诊治结局。方法回顾性分析经手术病理确诊为卵巢上皮源性肿瘤的19例妊娠期患者的临床及相关影像资料,以期为精准诊治提供依据。结果19例患者共22个肿瘤,其中11例为良性肿瘤,3例为交界性肿瘤,5例为恶性肿瘤。所有肿块均由囊性或囊实性成分组成,多囊为主,交界性或恶性肿瘤中3例可见壁结节;增强扫描实性成分、分隔及壁结节可见明显强化。2例合并盆腔积液,肿瘤较大者邻近组织或器官受压推移,未见明确侵犯邻近结构。结论与非妊娠期卵巢肿瘤相比,妊娠期卵巢上皮源性肿瘤在发生年龄、发病部位、病灶大小、囊腔多寡等方面无明显差异;但由于妊娠期相关生理改变,并发症发生几率增加,早期诊断并及时治疗具有很大价值。Objective To investigate the imaging findings,clinical diagnosis and treatment outcomes of ovarian epithelial tumors during pregnancy.Methods Nineteen patients confirmed pathologically to be ovarian epithelial tumors during pregnancy were retrospectively reviewed.All patients'clinical and imaging datas were analyzed in order to provide a basis for accurate diagnosis and treatment.Results There were 19 patients with 22 tumors,among of which 11 were benign tumors,3 borderline tumors and 5 malignant tumors.All tumors were composed of cystic or cystic-solid components,mainly polycystic.Mural nodules could be seen in 3 cases of borderline or malignant tumors.Obvious enhancement of solid components,septas and mural nodules could be seen on contrast-enhanced scans.Other imaging findings included pelvic effusion 2 cases,the adjacent tissues or organs displacement due to mass effect.Definite invasion of adjacent structures and distant metastases was not found.Conclusion There is no significant difference in the age,location,size and number of cysts between ovarian epithelial tumors during pregnancy and non-pregnancy,but the incidence of complications increases due to physiological changes related to pregnancy.Early diagnosis and timely treatment are of great value.

关 键 词：妊娠期 卵巢肿瘤 上皮源性肿瘤 计算机体层成像 磁共振成像 

分 类 号：R714.25[医药卫生—妇产科学] R737.31[医药卫生—临床医学] R814.42R445.2