| 彩色多普勒超声诊断卵巢卵泡膜细胞瘤 |
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| 引用本文： | 陈娇,杨太珠,罗红,杨帆,田雨,庞厚清,何敏,徐红,唐英,叶璐.彩色多普勒超声诊断卵巢卵泡膜细胞瘤[J].中国医学影像技术,2012,28(2):340-342. |
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| 作者姓名： | 陈娇 杨太珠 罗红 杨帆 田雨 庞厚清 何敏 徐红 唐英 叶璐 |
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| 作者单位： | 四川大学华西第二医院超声科,四川成都,610041 |
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| 摘 要： | 目的探讨彩色多普勒超声在卵巢卵泡膜细胞瘤诊断中的应用价值。方法回顾性分析25例经病理证实为卵巢卵泡膜细胞瘤患者的超声、临床表现与病理结果。结果超声检出肿块23例(23/25,92.00%),漏诊2例(2/25,8.00%);正确诊断13例(13/25,52.00%),误诊10例(10/25,40.00%)。20例(20/23,86.96%)呈实性弱回声,其中2例后方回声衰减;3例(3/23,13.04%)为囊实混合性包块。肿块内探及点线状血流信号或无明显血流。病理诊断为单纯卵泡膜细胞瘤8例(8/25,32.00%),纤维-卵泡膜细胞瘤16例(16/25,64.00%),颗粒-卵泡膜细胞瘤1例(1/25,4.00%)。结论卵泡膜细胞瘤超声表现有一定特异性;分析超声图像、临床表现及病理特点有助于提高对卵泡膜细胞瘤的诊断水平。
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| 关 键 词： | 超声检查 多普勒 彩色 卵巢肿瘤 病理学 |
| 收稿时间： | 2011/7/24 0:00:00 |
| 修稿时间： | 2011/9/24 0:00:00 |
Color Doppler ultrasonography in the diagnosis of ovarian thecoma |
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| CHEN Jiao,YANG Tai-zhu,LUO Hong,YANG Fan,TIAN Yu,PANG Hou-qing,HE Min,XU Hong,TANG Ying and YE Lu.Color Doppler ultrasonography in the diagnosis of ovarian thecoma[J].Chinese Journal of Medical Imaging Technology,2012,28(2):340-342. |
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| Authors: | CHEN Jiao YANG Tai-zhu LUO Hong YANG Fan TIAN Yu PANG Hou-qing HE Min XU Hong TANG Ying and YE Lu |
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| Institution: | Department of Ultrasound, the Second Affiliated Hospital of Sichuan University, Chengdu 610041, China;Department of Ultrasound, the Second Affiliated Hospital of Sichuan University, Chengdu 610041, China;Department of Ultrasound, the Second Affiliated Hospital of Sichuan University, Chengdu 610041, China;Department of Ultrasound, the Second Affiliated Hospital of Sichuan University, Chengdu 610041, China;Department of Ultrasound, the Second Affiliated Hospital of Sichuan University, Chengdu 610041, China;Department of Ultrasound, the Second Affiliated Hospital of Sichuan University, Chengdu 610041, China;Department of Ultrasound, the Second Affiliated Hospital of Sichuan University, Chengdu 610041, China;Department of Ultrasound, the Second Affiliated Hospital of Sichuan University, Chengdu 610041, China;Department of Ultrasound, the Second Affiliated Hospital of Sichuan University, Chengdu 610041, China;Department of Ultrasound, the Second Affiliated Hospital of Sichuan University, Chengdu 610041, China |
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| Abstract: | Objective To investigate the value of color Doppler ultrasonography in the diagnosis of ovarian thecoma. Methods Ultrasonographic characteristics of 25 patients with ovarian thecoma confirmed with pathology were analyzed. Results Twenty-three (23/25, 92.00%) masses were detected with ultrasonography and 2 were missed (2/25, 8.00%). Thirteen masses were diagnosed (13/25, 52.00%) and 10 were misdiagnosed (10/25, 40.00%). Ultrasonography displayed that 20 (20/23, 86.96%) thecoma were solid, of which 2 were shown as a homogenous hypoechoic pattern with no posterior sound attenuation. Three (3/23, 13.04%) appeared as a mixed pattern of solid and cystic components. The blood flow signal in the thecoma reduced or disappeared. In 25 patients, there were 8 ovarian thecoma (32.00%), 16 fibrothecomas (64.00%) and 1 granulosa-theca cell tumor (4%). Conclusion Typical ovarian thecoma has specific ultrasonographic features. Combining analysis of ultrasonic image, clinical manifestations and pathological characteristics will help to improve the ultrosonographic diagnostic rate of ovarian thecoma. |
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| Keywords: | Ultrasonography Doppler color Ovarian neoplasms Pathology |
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