卵巢颗粒细胞瘤32例超声表现及实验室检查分析  

Ultrasound Findings And Laboratory Analysis of 32 Cases of Ovarian Granulosa Cell Tumor

作　　者：王菲凡 邹倩倩 Wang Feifan;Zou Qianqian(Department of Obstetrics and Gynecology Ultrasound,Wenzhou People's Hospital,Wenzhou Zhejinag 325000,China)

机构地区：[1]温州市人民医院妇产超声科,浙江温州325000

出　　处：《生命科学仪器》2024年第4期26-28,共3页Life Science Instruments

摘　　要：目的探讨分析卵巢颗粒细胞瘤的超声表现及实验室检查结果。方法选择2010年10月至2024年1月期间在温州市人民医院行手术治疗且经术后病理检查确诊为卵巢颗粒细胞瘤的32例患者,作为观察组;选择同期收治的32例卵巢良性肿瘤患者,作为对照组。对两组患者均进行超声及实验室检查。对比两组基本临床特征、超声检查结果及实验室检查结果。结果观察组平均年龄大于对照组,P<0.05。观察组病灶以囊实性包块为主(62.5%),对照组以囊性包块为主(65.6%),两组瘤体大小对比,P>0.05。观察组血清AFP水平高于对照组,P<0.05;两组血清CEA、CA-125、CA-153、CA-199及HE4水平对比,P>0.05。结论卵巢颗粒细胞瘤在超声表现上多为单侧囊实性包块,囊内见多发分隔呈“蜂窝状”或“海绵状”改变,囊腔大小不等,且伴有实性成分,实性部分常可见较丰富的血流信号。血清AFP在诊断卵巢颗粒细胞瘤中具有一定的价值,诊断时可结合患者年龄、临床症状进行综合评估。Objective:To discuss and analyze the ultrasonic manifestations and laboratory examination results of granulosa cell tumor of ovary.Methods:From October 2010 to January 2024,32 patients who underwent surgical treatment in Wenzhou People's Hospital and were diagnosed as ovarian granulosa cell tumor by postoperative pathological examination were selected as the observation group.Thirty-two patients with benign ovarian tumors were selected as the control group.Ultrasound and laboratory examination were performed in both groups.The basic clinical features,ultrasonic examination results and laboratory examination results of the two groups were compared.Results:The average age of the observation group was older than that of the control group,P<0.05.The lesions in the observation group were mainly cystic-solid masses(62.5%),while those in the control group were mainly cystic masses(65.6%).The tumor size of the two groups was compared,P>0.05.Serum AFP level in observation group was higher than that in control group,P<0.05.The levels of serum CEA、CA-125、CA-153、CA-199 and HE4 were compared between the two groups,P>0.05.Conclusion:Most of the ovarian granulosa cell tumors are unilateral cystic-solid masses on ultrasound,and multiple septa in the cysts show“honeycomb”or“sponge”changes,and the cysts are different in size,accompanied by solid components,and rich blood flow signals are often seen in the solid parts.Serum AFP has certain value in the diagnosis of ovarian granulosa cell tumor,which can be comprehensively evaluated in combination with the patient's age and clinical symptoms.

关 键 词：卵巢颗粒细胞瘤 超声检查 实验室检查 肿瘤标志物 

分 类 号：R737.31[医药卫生—肿瘤]