卵巢子宫内膜样癌超声图像特征分析  

Ultrasonographic features of ovarian endometrioid carcinoma

作　　者：何珂 洪燕[1] 符小艳[1] HE Ke;HONG Yan;FU Xiaoyan(Department of Ultrasound,Hainan General Hospital,Hainan Medical University Hainan Hospital,Haikou 570311,China)

机构地区：[1]海南省人民医院海南医科大学附属海南医院超声科,海口市570311

出　　处：《临床超声医学杂志》2024年第11期957-960,共4页Journal of Clinical Ultrasound in Medicine

摘　　要：目的 总结卵巢子宫内膜样癌(OEC)的超声图像特征。方法 选取我院经病理确诊的18例OEC患者,应用超声观察病灶大小、边界、形态、内部结构、囊壁及囊内情况、血供等。结果 18例OEC患者共计19个病灶,最大径34~233 mm,中位最大径113(68)mm;超声表现为囊实性18个、实性1个,边界清晰13个、不清晰6个,形态规则5个、不规则14个,丰富血流信号15个、少量血流信号4个。18个囊实性病灶中,囊性部分的囊壁表现为增厚且厚薄不均9个、囊壁毛糙8个、囊壁尚光滑1个,囊内有低弱细点状回声16个、囊内透声尚好2个,囊内见带状分隔且厚薄不均9个、带状分隔厚度均匀7个、无带状分隔2个,囊内实性部分均呈不规则状,囊内有乳头状突起4个。12例患者出现腹盆腔积液;8例患者同步发生子宫内膜癌。结论 OEC的超声表现有一定特征性,了解其典型超声表现可提高超声对其诊断价值,减少误诊。Objective To summarize the ultrasonographic features of ovarian endometrioid carcinoma(OEC).Methods Eighteen patients with OEC confirmed by pathology in our hospital were selected.Ultrasound was used to observe lesion size,boundary,morphology,internal structure,cyst wall,intra-cystic feature and blood supply.Results A total of 19 lesions were found in 18 patients,with the maximum diameter ranging from 34 to 233 mm and a median size of 113(68)mm.Ultrasound showed 18 cystic-solid lesions and 1 solid lesion.The boundary was clear in 13 lesions and unclear in 6 lesions.The shape was regular in 5 lesions and irregular in 14 cases.Blood supply signals were abundant in 15 cases and scant in 4 lesions.Among the 18 cystic-solid lesions,the cystic portion of the cyst wall was thickened and uneven in 9 lesions,rough in cyst wall in 8 lesions,and relatively smooth in 1 case.There were weak,fine echoes within the cyst in 16 lesions,good sound transmission in 2 lesions,band-like septa of uneven thickness in 9 lesions,band-like septa of uniform thickness in 7 lesions,and no septa in 2 lesions.The solid portion within the cyst was irregular in all cases,with papillary projections in 4 lesions.Ascites in the abdominal and pelvic cavity was observed in 12 patients,and 8 patients had synchronous endometrioid carcinoma of the uterus.Conclusion Ultrasonographic features of OEC has a certain characteristic.Understanding the typical ultrasound manifestations of OEC can improve the diagnostic accuracy and reduce misdiagnosis.

关 键 词：超声检查 卵巢子宫内膜样癌 

分 类 号：R445.1[医药卫生—影像医学与核医学] R737.31[医药卫生—诊断学]