卵巢硬化性间质瘤的超声表现

Application of ultrasonography in the diagnosis of sclerosing stromal tumor of the ovary

目的:探讨卵巢硬化性间质瘤的超声诊断特点。方法:回顾性分析15例经术后病理证实的卵巢硬化性间质瘤患者的临床资料及超声表现,总结超声图像特征。结果:15例患者均为单发,左侧9例,右侧6例。肿瘤最大径线约4.7~16.4cm,根据肿瘤内部回声超声图像分两型:实性回声型和囊实混合回声型,彩色多普勒超声显示肿瘤实性部分血流丰富,多数周边较中央部更为明显。结论:卵巢硬化性间质瘤的超声图像具有一定的特点,同时结合临床资料有助于对该病的诊断及鉴别。

Objective: To explore the ultrasonic diagnosis features of sclerosing stromal tumor( SST) of the ovary.Methods: Clinical data and ultrasonic appearances of fifteen cases with SST of the ovary confirmed by surgery and pathology were analyzed retrospectively,and the ultrasonic features were summarized. Results: All of the fifteen patients were solitary with nine cases on left- side and six cases on right- side. The maximum diameter of tumors was 4. 7 ~16. 4cm. Two categories according to ultrasonic features of the internal echo of tumors were: Type of solid echopattern and type of cystidium and solid compounded resonanc. Color doppler ultrasound showed the blood flow signals of solid parts were abundant,and mostly the blood flow signals of circumjacent part were more obvious than those of central part. Conclusion: SST of ovary has some specific ultrasonic features. Ultrasonography combined with clinical features is helpful for the diagnosis and discrimination of SST of the ovary.