13例卵巢卵泡膜细胞瘤的超声表现

Ultrasonographic features of ovary thecoma in 13 cases

目的探讨卵泡膜细胞瘤的声像图表现及其临床价值。方法回顾总结1999年7月至2004年5月在我院经病理证实的13例卵泡膜细胞瘤的超声诊断资料。结果13例卵泡膜细胞瘤术前均经超声检查,发现7例呈实质性低回声肿块,6例呈囊实性肿块,声像图无特异性;13例中2例合并子宫肌瘤,1例合并子宫肌瘤、子宫肌腺症和子宫内膜息肉,1例合并子宫肌瘤、子宫肌腺症和输卵管系膜囊肿,1例合并子宫肌瘤和浆液性囊腺瘤,1例合并子宫肌腺症和巧克力囊肿,1例合并浆液性囊腺瘤和输卵管系膜囊肿。结论卵泡膜细胞瘤无特征性声像图表现,但将其超声声像图表现与临床上女性化症状结合起来考虑可有助于提高对该肿瘤的诊断率。

Purpose To discuss the uhrasonographic appearance of ovary thecoma and its clinical value. Methods Ultrasonographic features of 13 cases with thecoma confirmed by pathology from July 1999 to May 2004 were retrospectively reviewed. Results All cases of thecoma were examined with ultrasound preoperatively. Among them, 7 cases presented hypoechogenic solid mass and 6 cases showed cystic-solid mass without specific features. With respect to complications, there were 2 cases of uterine leomyoma, 1 case of leomyoma with adenomyosis and endometrial polyps, 1 case of adenomyosis and chocolate cyst, and 1 case of serous cystadenoma and mesosalpinx cyst. Condusion No specific feature is found on ultrasonography. The combination of ultrasonographic appearance and clinical symptoms are helpful in diagnosing thecoma.