子宫内膜异位症(EM)瘤变23例分析

A study on 23 cases of neoplasias arised from endometriosis(EM)

目的探讨卵巢子宫内膜异位症(endometriosis,EM)瘤变的临床特点、超声图像特征及预后。方法回顾性分析23例卵巢EM瘤变的临床、超声及病理资料,随访其预后。结果卵巢EM恶变的高危因素有年龄>45岁,特别是绝经后女性,异常阴道流血、腹痛性质改变,超声提示包块短期内迅速增大、囊肿直径>8cm、囊壁见乳头或血流丰富。随访I期患者16例均未见复发;Ⅲ～Ⅳ期患者3例均死亡。结论联合病史和经阴道彩色多普勒超声检查是早发现卵巢EM恶变的有效方法。

Objective To clarify the clinical features, ultrasonic imaging changes and prognosis of neoplasias arised from endometriosis （EM）. Methods A total of 23 women with ovarian neoplasia arising from EM were analyzed retrospectively, including clinical, ultrosonic, pathological and prognostic data. Results The high risk factors of canceration in ovarian endometriosis include age 45 years, especially after menopaus, menoxenia, dysmenorrhea, pelvic mass increasing rapidly in a short time, tumor diameter 〉8 cm, papilla or rich in blood flow. Follow-up of patients with stage Ⅰ （n = 16）, all did not prompt recurrence. Follow-up of patients with stage Ⅲ～Ⅳ （n = 3）, all dead. Conclusions The effective approach to dectect the neoplasia arising from ovarian EM in the early stage is to combine the clinical characteristics and the transvaginal sonography,which may he the most important.