巨大子宫浆膜下肌瘤与卵巢卵泡膜-纤维瘤组肿瘤超声造影表现  

Contrast-enhanced ultrasound manifestations of giant subserosal fibroid and ovarian thecoma-fibroma groups

作　　者：刘芳[1] 杨敏[1] 顾小宁[1] 石富文 刘冬梅[1] 成珍珍 LIU Fang;YANG Min;GU Xiaoning;SHI Fuwen;LIU Dongmei;CHENG Zhenzhen(Department of Ultrasound,Beijing Shijitan Hospital,Capital Medical University,Beijing 100038,China)

机构地区：[1]首都医科大学附属北京世纪坛医院超声科,北京100038

出　　处：《中国医学影像技术》2024年第12期1880-1883,共4页Chinese Journal of Medical Imaging Technology

摘　　要：目的观察巨大子宫浆膜下肌瘤(SSF)与卵巢卵泡膜-纤维瘤组肿瘤(OTFG)超声造影(CEUS)表现。方法回顾性纳入12例巨大SSF(SSF组)与36例巨大OTF女性患者(OTFG组),后者包括10例纤维瘤、8例卵泡膜细胞瘤及18例卵泡膜纤维瘤。对病变CEUS表现进行定性、定量分析及组间比较。结果SSF多表现为增强早期病灶周边同步环状或半环状等-高增强,内部实性部分同步不均匀等增强;增强晚期周边呈持续性等-高增强,内部与子宫肌层同步消退;5例可见蒂部结构。OTFG则多表现为晚增强、晚消退,增强早期内部实性部分呈不均匀等-低增强,增强晚期病灶周边及内部实性部分分支血管持续性显影;不同病理分型表现有所差异;9例可见蒂部结构。SSF组到达时间及达峰时间小于、而峰值强度大于OTFG组(P均<0.001)。结论巨大SSF与OTFG的CEUS表现均有一定特征性;不同病理分型OTFG CEUS表现有所差异。Objective To observe contrast-enhanced ultrasound(CEUS)manifestations of giant subserosal fibroid(SSF)and ovarian thecoma-fibroma groups(OTFG).Methods Twelve females with giant SSF(SSF group)and 36 females with giant OTFG(OTFG group)were retrospectively enrolled,and the latter including 10 cases of fibroma,8 cases of follicular membrane cell tumor and 18 cases of follicular membrane fibroma.CEUS manifestations of lesions were qualitatively and quantitatively analyzed and compared between groups.Results In early phase of enhancement,SSF was often characterized by synchronous annular or semi-annular iso-hyper-enhancement around the lesion and uneven synchronization enhancement of the internal solid part.In late phase,iso-hyper-enhancement was found around the lesion,and the contrast agents of internal solid part and myometrium disappeared simultaneously.Pedicle structures were noticed in 5 cases in SSF group.Meanwhile,OTFG was often characterized by late enhancement and late regression,with uneven iso-hypo-enhancement in internal solid part in early phase,and continuous enhancement of peripheral and internal branch vessels in late phase,and CEUS manifestations of different pathological subtype OTFG might be different.Pedicle structures were observed in 9 cases in OTFG group.The arrival time and time to peak were lower,while the peak intensity was higher in SSF group than those in OTFG group(all P<0.001).Conclusion CEUS manifestations of giant SSF and OTFG had certain characteristics,while different pathological subtype OTFG presented various characteristics.

关 键 词：子宫肿瘤 肌瘤 卵巢肿瘤 超声检查 

分 类 号：R737.3[医药卫生—肿瘤] R445.1[医药卫生—临床医学]