卵泡膜细胞瘤―纤维瘤组肿瘤超声表现及病理特点分析.doc

卵泡膜细胞瘤―纤维瘤组肿瘤超声表现及病理特点分析 　　[摘要] 目的 探?卵巢卵泡膜细胞瘤-纤维瘤组肿瘤（OTFG）的二维及彩色多普勒超声表现及病理特点。 方法 回顾分析2010年1月～2014年12月内蒙古医科大学附属医院及内蒙古自治区人民医院收治的82例OTFG患者的超声表现，并与病理资料对照分析。 结果 82例患者OTFG均边界清晰，包膜完整，呈圆形或类圆形。检出实性肿块63例，其中41例（65.08%）为低回声，18例（28.57%）为等回声，4例（6.35%）为高回声。囊实性肿块19例（23.17%）。24例（29.27%）肿瘤内部未探及彩色多普勒血流信号，56例（68.29%）探及少许血流信号，2例（2.44%）探及较丰富血流信号。超声诊断误诊13例（15.85%）。超声表现为均匀低回声型误诊为子宫浆膜下肌瘤7例，阔韧带子宫肌瘤4例；超声表现为囊实性回声型误诊为卵巢癌2例（2.44%）。 结论 OTFG的超声表现有一定特征性，超声结合临床对其具有诊断价值 [关键词] 卵泡膜细胞瘤-纤维瘤组肿瘤；彩色多普勒；超声检查；病理特点 [中图分类号] R73 R71 [文献标识码] A [文章编号] 1673-7210（2016）12（a）-0013-04 Ultrasonographic appearance and pathologic feature of ovarian theca-fibroma group WANG Yanhua1 ZHANG Fan2 HE Lixin1 ZHENG Jian3 1.Department of Ultrasound， the First Affiliated Hospital of Inner Mongolia Medical University， Inner Mongolia Autonomous Region， Huhhot 010050， China； 2. Department of Pathology， the People’s Hospital of Inner Mongolia Autonomous Region， Inner Mongolia Autonomous Region， Huhhot 010050， China； 3. Department of Gynaecology and Obstetrics， the First Affiliated Hospital of Inner Mongolia Medical University， Inner Mongolia Autonomous Region， Huhhot 010050， China [Abstract] Objective To evaluate the ultrasonographic appearances and pathologic features of patients with ovarian theca-fibroma group （OTFG）. Methods From January 2010 to December 2014， ultrasonographic appearances and pathologic features of 82 patients with OTFG in the First Affiliated Hospital of Inner Mongolia Medical University and the People’s Hospital of Inner Mongolia Autonomous Region were researched by retrospective analysis. Results 82 cases with OTFG were characterized by clear border， complete capsule and cycio- or quasi-circular. Moreover， there were 63 cases ovarian theca-fibroma tumors as solid masses， including 41 cases （65.08%） of hypoecho， 18 cases （28.57%） of iso-echoic and 4 cases （6.35%） of hyper-echoic， and 19 （23.17%） ovarian theca-fibroma tumors as complex masses. There were no obvious CDFI signal in 24 cases （29.27%）