卵巢表面浆液性乳头状癌的超声诊断价值

Ultrasonography diagnosis of ovarian surface serous papillary cystadenocarcinoma

目的探讨经腹、经阴道超声诊断及鉴别诊断卵巢表面浆液性乳头状癌的应用价值。方法对24例卵巢表面浆液性乳头状癌的病史、临床表现、彩色多普勒图像特征、手术及病理资料进行回顾性分析,寻找影像学的特征性表现。结果卵巢表面浆液性乳头状癌的声像图及血流表现有3种类型:①卵巢体积稍大,回声致密,血流呈低速低阻型,表面可见乳头状赘生物。②卵巢实质内或表面可见大小不等的囊泡。③卵巢形态不规则,血流呈高速低阻型,周围有肠管粘连。结论根据卵巢表面浆液性乳头状癌的3种特征性表现,应用彩色多普勒超声检查可提高诊断及鉴别诊断的阳性率。

Objective To explore the clinical value of transabdominal scanning and transvaginal scanning in the diagnosis of ovarian surface serous papillary cystadenocarcinoma. Methods To find the specific ultrasound features, the color Doppler flow image and the clinicopathological characteristics were analyzed retrospectively. Results The ultrasound features of ovarian surface serous papillary cystadenocarcinoma could be divided into three types. （1）The volume of ovary was a little big and the echo increased slight. The mastoid excrescence with low velocity of flow and low resistance could be found on the surface of the ovary. （2）The small cysts could be found on the surface of ovary or inside the parenchyma of ovary. （3）The ovary demonstrated irregular forms with high velocity of flow and high resistance when the ovary was conglutinated with intestines. Conclusions Applying three types of the ultrasound features may enhance the diagnostic accurate rate for ovarian surface serous papillary cystadenocarcinoma.