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A Case of Papillary Thyroid Carcinoma Arising from Struma Ovarii and Extending into the Bladder
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作者 Vahatra J. Razafimahefa Zo I. Raivoherivony +1 位作者 Herilalao E. Razafindrafara Tsitohery F. Andriamampionona 《Open Journal of Pathology》 CAS 2023年第2期100-107,共8页
Ovarian goiter is a form of single tissue teratoma of the ovary, accounting for 2% - 3% of mature ovarian teratomas. Malignant transformation may occur in rare cases. Papillary thyroid-type carcinoma represents the mo... Ovarian goiter is a form of single tissue teratoma of the ovary, accounting for 2% - 3% of mature ovarian teratomas. Malignant transformation may occur in rare cases. Papillary thyroid-type carcinoma represents the most common type of malignant struma ovarii, followed by follicular carcinoma. Malignant struma ovarii is commonly seen in women in the fifth decade. The diagnosis is often made post-operatively after histological examination. Histology also helps assess tumor aggressiveness (mitoses, necrosis, poorly differentiated subtype, etc.). Given the rarity of these lesions, no therapeutic consensus or prognostic value had yet been formally established. We report herein, the case of a 76-year-old woman with a cystic tumor of the right ovary and a nodular lesion of the bladder. The clinical symptomatology is nonspecific, associating abdomino-pelvic pain and a right latero-uterine mass on abdominal palpation. After total hysterectomy with bilateral adnexectomy, the diagnosis of papillary carcinoma arising from struma ovarii and extending into the bladder was made. Through this observation, we suggest to discuss the anatomoclinical particularities of this rare pathological entity. 展开更多
关键词 struma ovarii OVARY Papillary Carcinoma THYROID Bladder Nodule
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Giant struma ovarii with pseudo-Meigs’syndrome and raised cancer antigen-125 levels:A case report 被引量:2
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作者 Yan Liu Gao-Yan Tang +2 位作者 Lu Liu Hui-Min Sun Hai-Yan Zhu 《World Journal of Clinical Cases》 SCIE 2022年第30期11155-11161,共7页
BACKGROUND Struma ovarii is a type of monodermal mature teratoma composed entirely or mainly of thyroid tissue,accounting for 1%to 3%of all ovarian teratomas and 0.3%to 1.0%of all ovarian tumors.Of which,struma ovarii... BACKGROUND Struma ovarii is a type of monodermal mature teratoma composed entirely or mainly of thyroid tissue,accounting for 1%to 3%of all ovarian teratomas and 0.3%to 1.0%of all ovarian tumors.Of which,struma ovarii with ascites and pleural effusion,called pseudo-Meigs’syndrome and raised cancer antigen-125levels(CA 125)is even rarer.CASE SUMMARY This paper reports the diagnosis and treatment of a patient of struma ovarii with pseudo-Meigs’syndrome,presenting with the clinical features of ovarian carcinoma:Complex pelvic mass,gross ascites,right pleural effusion and markedly elevated serum CA 125 levels.During the operation,a cystic-solid mass about 20cm×10 cm×5 cm in the right adnexa and a solid mass with the size of 3 cm×2cm×0.1 cm in the left ovary were observed.She underwent right adnexectomy and resection of the left ovarian mass and histopathology revealed a mature leftsided ovarian teratoma and struma ovarii of right adnexal mass.During 1-year follow-up,the patient recovered well,tumor markers and other indicators returned to normal.CONCLUSION The diagnosis and treatment process of this case suggests that the clinical symptoms of struma ovarii with pseudo-Meigs’syndrome are lack specificity,which is easily misdiagnosed.Clinicians should improve the understanding of this disease,enhance the awareness of early screening,and improve the level of diagnosis and treatment. 展开更多
关键词 struma ovarii pseudo-Meigs’syndrome ASCITES Pleural effusion Cancer antigen-125 Case report
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Malignant struma ovarii with papillary carcinoma combined with retroperitoneal lymph node metastasis:A case report
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作者 Wen Xiao Jin-Rong Zhou Dong Chen 《World Journal of Clinical Cases》 SCIE 2022年第9期2961-2968,共8页
BACKGROUND Struma ovarii is a rare specific ovarian tumor.It is a highly differentiated monodermal teratoma with a malignant transformation rate as low as 5%.Thus,malignant transformation and metastasis are extremely ... BACKGROUND Struma ovarii is a rare specific ovarian tumor.It is a highly differentiated monodermal teratoma with a malignant transformation rate as low as 5%.Thus,malignant transformation and metastasis are extremely rare.The clinical manifestations of this disease are not typical and are easily misdiagnosed.CASE SUMMARY A 55-year-old female patient had a history of pain in the right hepatic region for approximately 1 year.Computed tomography and magnetic resonance imaging showed a solid cystic mass in the right adnexal region and a solid mass in the right retroperitoneum.The patient underwent surgical resection,and the combined morphological and immunohistochemical results led to the final diagnosis of right struma ovarii with papillary carcinoma and right retroperitoneal lymph node metastasis.CONCLUSION Malignant struma ovarii with distant metastasis is extremely rare,and the clinical manifestations of this disease are nonspecific.Accurate preoperative diagnoses are difficult to obtain,and pathological examination is the gold standard for diagnosing this disease. 展开更多
关键词 Malignant struma ovarii Papillary carcinoma METASTASIS RADIOLOGY Computed tomography Magnetic resonance imaging Case report
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Asymptomatic giant struma ovarii in a post-menopausal female: a case report
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作者 Dong Xia Qing Liu +2 位作者 Hui Yao Jianwei Li Liang Xu 《The Chinese-German Journal of Clinical Oncology》 CAS 2013年第2期93-95,共3页
Struma ovarii, a rare varity of ovarian neoplasm, belongs to the group of monodermic teratomas mainly composed of thyroid tissue. The preoperative diagnosis is always difficult to identify without histopathological ex... Struma ovarii, a rare varity of ovarian neoplasm, belongs to the group of monodermic teratomas mainly composed of thyroid tissue. The preoperative diagnosis is always difficult to identify without histopathological examination. Surgery is the only treatment because malignant alteration is possible and thyroid hyperactivity or hyperthyroidism may occur. Our patient, a post-menopausal women, had unilateral, large, multiloculated ovary mass of 20 cmx 15 cm × 10 cm size without any thyroid hyper activity. The radical excision of the tumor with right ovary was preformed. Histopathological examination confirmed struma ovarii. The post-operative period was uneventful and her thyroid function remained normal. 展开更多
关键词 struma ovarii OVARY diagnosis surgery HISTOPATHOLOGY
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Clinical analysis of 53 cases of struma ovarii 被引量:1
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作者 张俊吉 朗景和 冷金花 《生殖医学杂志》 CAS 2010年第A02期40-43,共4页
Objective:To review the clinical characteristics of struma ovarii. Methods:Fifty-three cases of struma ovarii treated in this hospital from January 1988 to January 2008 were analyzed retrospectively,and related litera... Objective:To review the clinical characteristics of struma ovarii. Methods:Fifty-three cases of struma ovarii treated in this hospital from January 1988 to January 2008 were analyzed retrospectively,and related literatures were reviewed. Results:Struma ovarii accounted for 1.5%of ovarian teratomas diagnosed at the studied period.The mean age of onset was 39.5 years.All cases were unilateral,occurring equally in either side,with a normal contralateral ovary. Elevated serum levels of CA125(50-2265.7 U/ml) were observed in all 5 patients with ascites.There were no characteristic imaging findings and the confirmed diagnosis was dependent on histology.The management for all patients was surgery.No reoccurrence was found within mean follow-up of 58 months after operation. Conclusion:Struma ovarii is rare and occurs more often in late reproductive age,with a good prognosis.It is difficult to be diagnosed before surgery,and should be distinguished from malignant ovarian tumor.Laparoscopy is the best choice of treatment. 展开更多
关键词 卵巢肿瘤 甲状腺肿 临床分析 生育年龄 临床特点 手术 诊断 畸胎瘤
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A Case of Struma Ovarii Diagnosed by Cytology during Laparoscopic Surgery 被引量:1
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作者 Kenji Niwa Motoki Takenaka +5 位作者 Tsuneo Ishihara Sakae Mori Keigo Kuwabara Saki Murase Yoshio Yamaguchi Takuji Tanaka 《Open Journal of Pathology》 2019年第1期1-9,共9页
We report a case of pure struma ovarii tumor diagnosed by cytology during laparoscopic surgery. The patient was a 34-year-old Japanese woman, gravida 1, para 1, who had the left adnexal mass, and was pre-operatively d... We report a case of pure struma ovarii tumor diagnosed by cytology during laparoscopic surgery. The patient was a 34-year-old Japanese woman, gravida 1, para 1, who had the left adnexal mass, and was pre-operatively diagnosed as left ovarian endometriotic cyst or mature cystic teratoma by magnetic resonance imaging findings. She underwent laparoscopy, and the content of the left ovarian cystic tumor was found to be yellow gelatinous material, suggesting mature cystic teratoma. The imprint cytology of the tumor showed benign glandular pattern, suggesting struma ovarii. Histopathological findings led us to the diagnosis of pure struma ovarii with positive reactions for thyroglobulin and thyroid transcription factor-1. No metastases or disseminated lesions were detected. The patient has no recurrent signs 7 months after the operation. 展开更多
关键词 struma ovarii CYTOLOGY IMMUNOCYTOCHEMISTRY IMMUNOHISTOCHEMISTRY THYROGLOBULIN THYROID Transcription Factor-1
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Intra-operative consult for cystic struma ovarii—An experience in an academic medical center: A study of 53 cases over 21 years
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作者 M. Ruhul Quddus Jinjun Xiong +4 位作者 S. M. K. Nahar Begum Michele Lomme Katrine Hansen C. James Sung W. Dwayne Lawrence 《Open Journal of Obstetrics and Gynecology》 2013年第7期1-6,共6页
Struma ovarii often escapes recognition during intraoperative consultation because of its rarity, subtle characteristic gross appearance, and lack of clinical suspicion. An intraoperative diagnosis of benign struma ov... Struma ovarii often escapes recognition during intraoperative consultation because of its rarity, subtle characteristic gross appearance, and lack of clinical suspicion. An intraoperative diagnosis of benign struma ovarii enables the general gynecologic surgeon to continue the planned surgery. However, a diagnosis of malignnancy in a struma ovarii would alter the course of surgery with the involvement of a gynecologic oncology surgeon. We present here that our experience with intraoperative consultation for preoperatively undiagnosed struma ovarii presenting as an adnexal cystic or solid mass at our teaching hospital. Fifty-three cases of struma ovarii, 5.2% of all cystic teratoma of the same period, were diagnosed between January 1991 and March 2011. All intraoperative consultation reports, gross descriptions and final pathology reports were reviewed. The H&E stained slides and in selected cases, immunohistochemistry stained slides, were reviewed. Of the 53 cases of struma ovarii, intraoperative consultation was requested on 48 cases. Frozen section was done on 24 cases and only gross examination was felt appropriate in remaining 24 cases. 83% cases were diagnosed when a frozen section was done. None of the remaining 24 cases were recognized as struma by gross inspection. Our findings reveal that in a large number of cases the diagnosis of struma ovarii remained unrecognized during intraoperative consultation, indicating its often subtle/deceptive gross morphologic appearance. However, the purpose of the intraoperative consultation was served, as appropriate information was provided to the surgeon to guide the surgical management. 展开更多
关键词 struma ovarii INTRAOPERATIVE Consult OVARIAN CYST
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Papillary Carcinoma on Stroma Ovarii: A Case Report from Madagascar and Review of the Literature
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作者 Toky Rakotoarivo Christiana Ranaivoson +2 位作者 Vonjy Andrianarison Nomeharisoa Rodrigue Emile Hasiniatsy Florine Rafaramino 《Journal of Cancer Therapy》 2024年第3期57-61,共5页
A 64-year-old woman with no particular history presented with chronic pelvic pain since November 2021. The ultrasound performed showed multiple right ovarian cystic ranging from 0.4 to 4 cm on the long axis. She under... A 64-year-old woman with no particular history presented with chronic pelvic pain since November 2021. The ultrasound performed showed multiple right ovarian cystic ranging from 0.4 to 4 cm on the long axis. She underwent a right salpingo-oophorectomy in May 2022. The anatomical pathology result is in favor of a papillary carcinoma developed on stroma ovarii. No adjuvant treatment was necessary since the tumor was well limited, without capsular rupture, stage IA. The thyroid test was normal. The patient is currently being monitored. There is no sign of recurrence 20 months after surgery. 展开更多
关键词 Papillary Carcinoma SURGERY struma ovarii
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卵巢甲状腺肿8例CT表现与病理分析
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作者 李晶 谢德英 +3 位作者 刘洁 朱勇杰 王芸 蔡鹄 《新疆医学》 2024年第1期65-68,119,共5页
目的探讨卵巢甲状腺肿的临床、CT特点及诊断价值。方法回顾性分析8例病理证实的卵巢甲状腺肿患者的临床资料及CT表现。结果本组8例患者中位年龄为56岁,3例合并腹水,5例与同侧输卵管或邻近腹膜粘连,CT表现:8例卵巢甲状腺肿病灶均为单发... 目的探讨卵巢甲状腺肿的临床、CT特点及诊断价值。方法回顾性分析8例病理证实的卵巢甲状腺肿患者的临床资料及CT表现。结果本组8例患者中位年龄为56岁,3例合并腹水,5例与同侧输卵管或邻近腹膜粘连,CT表现:8例卵巢甲状腺肿病灶均为单发囊性或囊实性肿块,5例伴高密度囊腔。6例行增强扫描,其中4例实性区及囊壁可见中度及明显强化,2例囊壁强化不明显,6例囊腔均无强化。病理示肿瘤实质主要由大小不等、内含胶质的甲状腺滤泡样结构组成,滤泡上皮为单层扁平、立方上皮或柱状上皮,细胞无异形性。8例中伴有成熟畸胎瘤成分5例,单纯型卵巢甲状腺肿2例,内膜样囊肿成分1例。结论卵巢甲状腺肿的CT表现常为边界清的囊性或囊实性肿块、囊壁及实性部分明显强化、可伴高密度囊腔、钙化,能部分反映此瘤的病理特征,对其诊断和鉴别诊断具有重要价值,对于不典型病例仍需依靠病理学检查。 展开更多
关键词 卵巢甲状腺肿 X线计算机体层成像 病理学 诊断
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右侧卵巢甲状腺肿伴甲状腺滤泡癌1例
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作者 马红玉 李莉 +2 位作者 李艺萱 贾芳莹 刘闯 《中国医学影像技术》 CSCD 北大核心 2024年第4期640-640,共1页
患者女,46岁,体检发现盆腔肿物5个月;10年前接受甲状腺手术,具体不详。查体:右附件区触及约6cm×6cm质软肿物,边界清,活动可,无明显压痛。实验室检查:甲状腺球蛋白60.58ng/ml、糖类抗原12557.29U/ml。腹部超声:右附件区5.9cm×2... 患者女,46岁,体检发现盆腔肿物5个月;10年前接受甲状腺手术,具体不详。查体:右附件区触及约6cm×6cm质软肿物,边界清,活动可,无明显压痛。实验室检查:甲状腺球蛋白60.58ng/ml、糖类抗原12557.29U/ml。腹部超声:右附件区5.9cm×2.8cm混合回声包块,边界清,形态规则,内见多个囊性回声团;CDFI于其内探及较丰富血流信号。 展开更多
关键词 卵巢甲状腺肿 甲状腺癌 滤泡 磁共振成像
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卵巢甲状腺肿的术前影像学诊断及鉴别 被引量:1
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作者 王进进 肖美玲 +3 位作者 周建军 计一丁 蔡宋琪 曾蒙苏 《放射学实践》 CSCD 北大核心 2024年第1期90-96,共7页
目的:对照分析卵巢甲状腺肿(SO)与Ⅰ期上皮性卵巢癌(EOC)的临床及影像学资料,总结SO的临床特点及影像学特征。方法:回顾性分析经手术及病理确诊的42例SO与40例Ⅰ期EOC患者的临床及影像学资料,临床资料包括症状、年龄、肿瘤指标(CA125、... 目的:对照分析卵巢甲状腺肿(SO)与Ⅰ期上皮性卵巢癌(EOC)的临床及影像学资料,总结SO的临床特点及影像学特征。方法:回顾性分析经手术及病理确诊的42例SO与40例Ⅰ期EOC患者的临床及影像学资料,临床资料包括症状、年龄、肿瘤指标(CA125、HE4和CA19-9),影像学资料包括病变部位、数目、大小、形态、质地、囊壁及分隔厚度、CT密度、MRI信号特征、强化方式及程度等。比较两组患者的临床指标及影像学特征是否有统计学差异;通过多因素回归分析明确独立预测因素,并计算诊断效能。结果:Ⅰ期EOC组CA125(P<0.001)及HE4(P<0.001)异常升高、绝经后阴道流血症状(P=0.005)的发生率均高于SO组。两组肿瘤的质地、蜂房、壁结节、囊液密度、实性信号、肿块强化方式及程度差异均有统计学意义(P<0.05);其中CA125及肿瘤实性部分强化程度是鉴别SO与I期EOC的独立预测因素(P=0.022,OR=0.128;P=0.002,OR=11.148),两者联合诊断SO的ROC曲线下面积为0.857,敏感度为66.7%,特异度为90.0%。结论:SO与Ⅰ期EOC在临床症状、肿瘤标志物及影像学特征上均有差异,其中CA125及肿瘤实性成分强化程度是两者鉴别诊断的独立预测因素。 展开更多
关键词 卵巢甲状腺肿 上皮性卵巢癌 体层摄影术 X线计算机 磁共振成像
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卵巢甲状腺肿2例临床分析
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作者 赵洪霞 张新艳 李雪源 《中国实用医药》 2024年第7期149-151,共3页
卵巢甲状腺肿临床少见,表现形式多样,容易漏诊,现根据本科2例卵巢甲状腺肿的临床诊治情况,探讨卵巢甲状腺肿的诊断、治疗及预后,为早发现、早诊断、早治疗提供依据。回顾性分析2例卵巢甲状腺肿患者的临床资料,依据不同的临床症状及体征... 卵巢甲状腺肿临床少见,表现形式多样,容易漏诊,现根据本科2例卵巢甲状腺肿的临床诊治情况,探讨卵巢甲状腺肿的诊断、治疗及预后,为早发现、早诊断、早治疗提供依据。回顾性分析2例卵巢甲状腺肿患者的临床资料,依据不同的临床症状及体征采用不同的影像学检查,进而确定手术治疗方式,并评价治疗效果及预后情况。2例患者虽然临床表现不同,影像学检查也差别较大,但手术标本提示病理结果相同,都诊断为卵巢甲状腺肿,都能通过手术获得良好的治疗效果。通过分析发现,卵巢甲状腺肿患者拥有不同的临床表现及体征,影像学检查结果明显不同,因此在临床诊治过程中要全面考虑、及时手术、术中快速病理,以便采取恰当的手术方式,争取较好的疗效。 展开更多
关键词 卵巢甲状腺肿 胸腹水 诊疗
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卵巢甲状腺肿伴类癌的超声及MRI影像特点分析
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作者 宁绍爽 王伟 董莹 《中国实用医药》 2023年第17期77-80,共4页
目的探讨卵巢甲状腺肿伴类癌的超声及磁共振成像(MRI)影像表现,为临床治疗提供依据。方法7例卵巢甲状腺肿伴类癌患者均进行超声及MRI检查,分析超声及MRI影像特征。结果7例卵巢甲状腺肿伴类癌的超声及MRI影像均表现为囊实性肿瘤,超声及MR... 目的探讨卵巢甲状腺肿伴类癌的超声及磁共振成像(MRI)影像表现,为临床治疗提供依据。方法7例卵巢甲状腺肿伴类癌患者均进行超声及MRI检查,分析超声及MRI影像特征。结果7例卵巢甲状腺肿伴类癌的超声及MRI影像均表现为囊实性肿瘤,超声及MRI影像表现有明显结节灶患者5例,在超声声像图显示为边界清楚的偏强回声结节灶,超声多普勒无明显血流回声;在MRI中呈长T1WI低信号、短T2WI低信号,MRI多期增强扫描结节无强化征象;此外,MRI多期增强扫描显示肿瘤实性部分及囊壁、囊分隔有明显强化征象,与超声声像图所示的肿瘤实性部分及囊壁、囊分隔有丰富血流回声的结果保持一致,并呈低阻力表现;另有2例卵巢甲状腺肿伴类癌囊实性肿瘤超声检查显示肿瘤囊性区域可见多发斑点状强回声、部分可见声影,肿瘤囊壁稍增厚、毛糙,且合并有盆腔积液,结合术后病理免疫组化显示,类癌区域CD56、突触囊泡蛋白(Syn)、嗜铬颗粒蛋白A(CgA)、广谱细胞角蛋白(Pan-CK)、尾型同源盒转录因子2(CDX2)、1%~2%Ki-67阳性,Ki-67指数多为1%~5%。7例患者卵巢甲状腺肿区域病理免疫组化可见Pan-CK、甲状腺转录因子1(TTF-1)、CD56阳性。结论卵巢甲状腺肿伴类癌具有明显的超声声像图特点及MRI影像特征,对肿瘤的术前诊断及鉴别诊断有重要意义。 展开更多
关键词 卵巢甲状腺肿 类癌 超声 磁共振成像
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卵巢甲状腺肿的超声表现、O-RADS分类与临床病理分析
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作者 郭俊 周婷 +2 位作者 杨柳茵 张微微 张建兴 《影像研究与医学应用》 2023年第2期16-19,共4页
目的:探讨卵巢甲状腺肿的声像图特点、O-RADS分类及对应的临床病理特征,以加强对本病的认识。方法:收集2012年8月—2022年10月于广州中医药大学第二附属医院经手术病理证实的24例卵巢甲状腺肿患者的一般资料和超声图像,并进行O-RADS分类... 目的:探讨卵巢甲状腺肿的声像图特点、O-RADS分类及对应的临床病理特征,以加强对本病的认识。方法:收集2012年8月—2022年10月于广州中医药大学第二附属医院经手术病理证实的24例卵巢甲状腺肿患者的一般资料和超声图像,并进行O-RADS分类,与病理结果进行对比。结果:24例患者多无明显临床症状,共25个病灶,均为良性、单侧附件来源,声像图表现:23个(92%)病灶外部边缘光滑,23个(92%)呈多房囊性或囊性为主,19个(76%)病灶内可见实性成分,8个(32%)囊壁或分隔可见乳头状突起。O-RADS分类:O-RADS 2类8个,O-RADS 3类4个,O-RADS 4类12个,O-RADS 5类1个。结论:卵巢甲状腺肿无特异性症状,超声表现多数边缘光滑、呈多房囊性或囊性为主,运用O-RADS分类诊断可能高估部分肿物的恶性风险。 展开更多
关键词 卵巢甲状腺肿 超声检查 卵巢-附件报告和数据系统 临床病理特征
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卵巢甲状腺肿的超声表现及病理特征对照 被引量:28
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作者 杨倩 杨筱 +5 位作者 刘真真 姜玉新 李建初 苏娜 陈博 张波 《中国医学科学院学报》 CAS CSCD 北大核心 2015年第3期309-314,共6页
目的探讨卵巢甲状腺肿的超声表现及对应的病理基础。方法回顾性分析2005年1月至2014年12月在北京协和医院经手术病理证实的72例卵巢甲状腺肿患者的超声表现与其病理特征对照。结果 72例卵巢甲状腺肿患者中良性卵巢甲状腺肿71例共73个病... 目的探讨卵巢甲状腺肿的超声表现及对应的病理基础。方法回顾性分析2005年1月至2014年12月在北京协和医院经手术病理证实的72例卵巢甲状腺肿患者的超声表现与其病理特征对照。结果 72例卵巢甲状腺肿患者中良性卵巢甲状腺肿71例共73个病灶,恶性卵巢甲状腺肿1例1个病灶。73个良性卵巢甲状腺肿超声声像图表现:所有病灶均边界清晰,45个(61.6%)呈多房囊性或囊实性,49个(67.1%)形状不规则,28个(38.4%)病灶囊性成分内部可见实性结节状中等或中高回声突起,36个(49.3%)病灶内可探及血流信号。1个恶性卵巢甲状腺肿超声声像图表现为多房囊实性,囊壁及隔上可见多个结节状中高回声,分隔及实性成分可见血流。结论卵巢甲状腺肿超声表现多样,如肿瘤呈多房囊性或囊实性,边界清晰,囊内见结节状中等或中高回声同时伴血流信号,应考虑卵巢甲状腺肿的可能。 展开更多
关键词 卵巢甲状腺肿 畸胎瘤 超声检查
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良、恶性卵巢甲状腺肿临床病理分析 被引量:19
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作者 卿松 李晓红 +3 位作者 苗娜 刘霞 马遇庆 张巍 《中国癌症杂志》 CAS CSCD 北大核心 2013年第7期524-529,共6页
背景与目的:卵巢甲状腺肿是一种少见肿瘤,尤其伴有卵巢外播散的更为少见。本研究旨在探讨卵巢甲状腺肿的临床及病理组织学特征、诊断及鉴别诊断。方法:观察14例良、恶性卵巢甲状腺肿的临床及病理学特征,行免疫组化EnVision法染色,... 背景与目的:卵巢甲状腺肿是一种少见肿瘤,尤其伴有卵巢外播散的更为少见。本研究旨在探讨卵巢甲状腺肿的临床及病理组织学特征、诊断及鉴别诊断。方法:观察14例良、恶性卵巢甲状腺肿的临床及病理学特征,行免疫组化EnVision法染色,PCR—DNA检测,同时复习相关文献。结果:14例良、恶性卵巢甲状腺肿患者平均年龄45.6岁(18-71岁),以盆腔肿物为主要临床表现。其中12例为卵巢甲状腺肿,镜下主要由增生的甲状腺组织构成;1例为恶性卵巢甲状腺肿,镜下呈甲状腺乳头状癌表现;1例来源于卵巢甲状腺肿的高分化滤泡癌(highly differentiated follicular carcinoma of ovarianorigin,HDFCO),镜下组织学呈良性但生物学呈恶性表现。结论:卵巢甲状腺肿是少见的单胚层畸胎瘤,恶变率低,尤其是超出卵巢病变已有播散而镜下组织学呈良性的卵巢甲状腺肿发病率更低,具有较独特的临床病理学特征。良、恶性卵巢甲状腺肿预后均较好,需与颗粒细胞瘤、类癌鉴别。 展开更多
关键词 卵巢甲状腺肿 鉴别诊断 预后 免疫组化 PCR—DNA
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卵巢甲状腺肿的CT表现:与病理对照 被引量:28
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作者 兰勇 李伟 +4 位作者 罗学毛 张朝桐 胡茂清 谭国强 龙晚生 《中国医学影像技术》 CSCD 北大核心 2010年第1期116-118,共3页
目的分析卵巢甲状腺肿(SO)的CT表现特点。方法回顾性分析经手术病理证实的9例卵巢甲状腺肿的CT表现,并与病理所见作对照分析。结果9例SO均为单侧附件肿块,呈椭圆形或分叶状,边界清楚;3例呈囊性,6例为囊性为主的囊实性;囊内密度不均匀,其... 目的分析卵巢甲状腺肿(SO)的CT表现特点。方法回顾性分析经手术病理证实的9例卵巢甲状腺肿的CT表现,并与病理所见作对照分析。结果9例SO均为单侧附件肿块,呈椭圆形或分叶状,边界清楚;3例呈囊性,6例为囊性为主的囊实性;囊内密度不均匀,其中5例呈高密度。增强后实质部分多中等(3例)或显著强化(5例)。6例伴有斑点、线条及环形钙化;4例少量腹水。镜下见肿瘤由甲状腺滤泡样结构和富含血管及纤维组织的基质组成,滤泡大小不等,滤泡腔内充满嗜伊红高蛋白凝胶样物质。结论边界清楚的囊实性肿块、钙化及囊内平扫高密度、实质部分显著强化是SO的CT表现特点。 展开更多
关键词 卵巢甲状腺肿 体层摄影术 X线计算机 病理学
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卵巢甲状腺肿MRI和CT表现 被引量:17
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作者 林娜 熊美连 +2 位作者 方如旗 黄欣瑶 曹代荣 《中国医学影像技术》 CSCD 北大核心 2018年第5期719-722,共4页
目的分析卵巢甲状腺肿的MRI、CT表现。方法回顾性分析14例经手术病理证实的单发卵巢甲状腺肿患者的MRI及CT表现,观察其形态、大小、密度/信号、强化特点等。结果 14例病变均表现为包膜完整的囊实性肿块,其中分叶状11例,类圆形3例;多囊... 目的分析卵巢甲状腺肿的MRI、CT表现。方法回顾性分析14例经手术病理证实的单发卵巢甲状腺肿患者的MRI及CT表现,观察其形态、大小、密度/信号、强化特点等。结果 14例病变均表现为包膜完整的囊实性肿块,其中分叶状11例,类圆形3例;多囊状13例,单囊1例;11例实性成分为明显厚壁或分隔,3例呈结节状。肿瘤最大径为3~34cm,平均(11.34±2.24)cm。7例MR T2WI囊性部分均可见极低信号区,增强后无强化,实性成分明显强化。7例CT囊性部分均可见高密度区,CT值57~90HU,增强扫描未见强化;实性成分明显强化,CT值为145~270HU;4例囊壁或实性结节中见斑片状钙化。结论卵巢甲状腺肿的MRI、CT表现具有一定特征性,有助于诊断及鉴别诊断。 展开更多
关键词 卵巢甲状腺肿 畸胎瘤 磁共振成像 体层摄影术 X线计算机
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超声联合增强CT诊断卵巢甲状腺肿 被引量:9
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作者 石喻 郭启勇 +4 位作者 李悦 孙佳星 高玉颖 李加慧 李秋菊 《中国医学影像技术》 CSCD 北大核心 2014年第3期441-445,共5页
目的 探讨超声联合增强CT诊断卵巢甲状腺肿(SO)的价值。方法 回顾性分析17例经手术病理证实的SO患者的声像图及增强CT特点,并与病理结果对照。结果 17例包括良性14例及恶性3例SO,其中10例囊实混合性,6例多囊性,1例单纯实性。超声... 目的 探讨超声联合增强CT诊断卵巢甲状腺肿(SO)的价值。方法 回顾性分析17例经手术病理证实的SO患者的声像图及增强CT特点,并与病理结果对照。结果 17例包括良性14例及恶性3例SO,其中10例囊实混合性,6例多囊性,1例单纯实性。超声于6例肿瘤实性部分发现 "甲状腺肿突起",CT值35~82 HU[平均(61.5±12.1)HU];囊性部分呈无回声或低回声,对应CT值13~89 HU[平均(43.4±22.7)HU];其中7例含"高密度囊"(CT值〉50 HU)。CT增强显示14例实性成分及囊壁强化,其中9例明显强化或呈特征性"甲状腺样强化",对应的CDFI未见明显血流。结论 SO多为囊性或囊实性肿块;实性成分显著强化结合CDFI少量血流信号不一致、囊液CT值增高结合声像图无回声或低回声不一致可能是SO的特异性影像学表现。 展开更多
关键词 卵巢甲状腺肿 体层摄影术 X线计算机 超声检查 多普勒 彩色
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卵巢甲状腺肿MR诊断与病理分析 被引量:18
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作者 张田荪 沈比先 +2 位作者 李元歌 谢井文 褚千琨 《医学影像学杂志》 2011年第11期1711-1713,共3页
目的:探讨卵巢甲状腺肿的MRI特征性表现及主要鉴别诊断,提高对本病的认识。方法:回顾性分析经手术病理证实的卵巢甲状腺肿11例,总结其部位、病变形态、信号特征、囊壁及间隔强化方式的诊断价值。结果:11例卵巢甲状腺肿发生于右侧附件区3... 目的:探讨卵巢甲状腺肿的MRI特征性表现及主要鉴别诊断,提高对本病的认识。方法:回顾性分析经手术病理证实的卵巢甲状腺肿11例,总结其部位、病变形态、信号特征、囊壁及间隔强化方式的诊断价值。结果:11例卵巢甲状腺肿发生于右侧附件区3例;左侧附件区8例;囊性有间隔,囊壁及间隔较厚8例;完全囊性,囊壁较厚2例;囊实性混杂1例;增强扫描实性成分、囊壁及分隔明显强化,囊内未见强化;其中5例盆腔少量积液,3例盆腔积液合并双侧胸腔积液。结论:卵巢甲状腺肿MRI表现具有一定的特征性。MRI检查是诊断卵巢甲状腺肿有价值的方法。 展开更多
关键词 卵巢甲状腺肿 磁共振成像 病理学
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