卵巢幼年型粒层细胞瘤超声图像及病理特征分析  

Ultrasonographic features and pathological characteristics of ovarian juvenile granulosa cell tumors

作　　者：杨秀玲 黄佳彦 雷杨 卢强[3] YANG Xiuling;HUANG Jiayan;LEI Yang;LU Qiang(Department of Ultrasound,Shanxi Children’sHospital,Taiyuan 030000,China)

机构地区：[1]山西省儿童医院山西省妇幼保健院超声科,太原市030000 [2]山西省儿童医院山西省妇幼保健院病理科,太原市030000 [3]四川大学华西医院超声科

出　　处：《临床超声医学杂志》2024年第11期964-967,共4页Journal of Clinical Ultrasound in Medicine

摘　　要：目的 分析卵巢幼年型粒层细胞瘤(JGCT)的超声图像及病理特征。方法 选取我院经手术病理证实的JGCT患者4例,总结其超声图像特征及病理表现。结果 4例患者病灶超声均表现为边界清晰、形态规则的囊实性包块,其囊性部分多发分隔,囊壁光滑,未见血流信号,最大径均>6 cm;实性部分呈不均匀高回声,可见较丰富的血流信号及低阻动脉频谱,阻力指数≤0.5。4例患者均伴有不同程度腹腔积液,2例伴有胸腔积液,1例伴有心包腔积液,积液均透声好;3例表现为子宫内膜增厚。病理检查示JGCT由颗粒细胞弥漫增生形成,同时伴新生血管生成,囊性成分与滤泡样结构的模式有关。结论 JGCT超声表现多样,巨大囊实性占位伴多发分隔、多合并浆膜腔积液为其特征性表现。Objective To analyze the ultrasonographic features and pathological characteristics of ovarian juvenile granulosa cell tumors(JGCT).Methods Four cases of JGCT confirmed by surgical pathology in our hospital were collected,the ultrasonographic features and pathological characteristics were summarized.Results In all 4 cases,ultrasound showed clear boundary,regularly shaped cystic-solid masses with multiple septa in the cystic portion,smooth cyst wall,and no blood flow signal.The maximum diameter of the masses was>6 cm.The solid component exhibited heterogeneous high echogenicity with rich blood flow signals and a low-resistance arterial spectrum,with a resistance index of≤0.5.4 cases had ascites with different degree,2 cases had pleural effusion,and 1 case had pericardial effusion,with all types of effusions showed good acoustic transmission.3 cases showed endometrial thickening.Pathological examination showed diffuse proliferation of granulosa cells with neovascularization,and the cystic components displayed a follicular-like structure.Conclusion JGCT presents diverse ultrasonographic features.The characteristic findings include a large cystic-solid mass with multiple septa and associated polyserous cavity effusions.

关 键 词：超声检查 幼年型粒层细胞瘤 卵巢 病理特征 

分 类 号：R445.1[医药卫生—影像医学与核医学]