卵巢卵泡膜-纤维瘤组肿瘤的临床和超声特征与病理学对比

Clinical and ultrasonic characteristics compared with pathology in the patients of ovarian thecoma-fibroma groups

目的:探究卵巢卵泡膜-纤维瘤组肿瘤(ovarian thecoma-fibroma groups,OTFG)的临床、超声特征与病理学结果之间的关系。方法:回顾分析2014年1月至2017年12月于泰州市人民医院经手术病理确诊为OTFG患者50例,分析患者的临床特征、超声表现,并与病理学结果进行比较。结果:在50例患者中,70%(35/50)发生在绝经后;OTFG超声表现为:70%(35/50)患者病灶呈低回声,46%(23/50)病灶后方回声伴衰减;病灶术前易被误诊为子宫浆膜下肌瘤(10/50,20%)。结论:OTFG患者典型的超声表现为低回声、边界清晰且多普勒血流信号极弱,上述超声特征有助于术前OTFG的正确诊断。

Objective： To investigate the clinical, ultrasound features of ovarian thecoma-fibroma groups（OTFG） patients and compared them with pathological outcomes. Methods： We retrospectively analyzed 50 patients with surgically proven OTFG in our hospital from January 2014 to December 2017. We analyzed the clinical and ultrasound features and compared them with pathological findings. Results： In 50 patients 70%（35/50） occurred in postmenopausal; the ultrasound features of OTFG： 70%（35/50） of patients with hypoechoic lesions, 46%（23/50） with the echo attenuation. Lesions were often misdiagnosed as subserosal fibroids before surgery（10/50, 20%）. Conclusion： The typical ultrasound features of OTFG are hypoechoic with clear boundaries and Doppler blood flow signals were weak. The above ultrasound features are helpful for the correct diagnosis of OTFG.