卵巢转移癌的超声表现与病理对照分析.docVIP

卵巢转移癌的超声表现与病理对照分析 【摘要】目的提高超声诊断卵巢转移癌的准确性。方法对经病理证实的21例卵巢转移癌超声声像图进行回顾性分析，并与病理进行对照。结果超声表现分为3种类型：肿块型、囊肿型、混合型，分别占总数的85.7%（18/21）、9.5%（2/21）、4.8%（1/21），多伴有腹腔积液，双侧卵巢转移癌71.4%（15/21），单侧卵巢转移癌28.6%（6/21），13例术前超声诊断为卵巢转移癌，定性符合率61.9%（13/21）。结论卵巢转移癌的超声形态学表现与病理之间存在一定相关性，双侧性是转移性卵巢癌的一个特点，可根据其超声表现对肿块的生物学行为评估。 【关键词】 卵巢转移癌；超声表现； 病理对照 Ultrasonographic findings of metastatic ovarian cancer and the correlation with pathology WANG Wei，ZHAO Yi-wen，LIU Ya-ning，et al.Department of Ultrasound,Central Hospital of Xuhui,Shanghai 200031,China ［Abstract］ Objective To investigate the correlation between ultrasonographic morphologic features and pathology of metastatic ovarian cancer.To improve the diagnostic accuracy of metastatic ovarian cancer by ultrasonography.Methods The ultrasonographic findings of 21 patients with pathologically proved metastatic ovarian cancer were analyzed retrospectively.Results There were three ultrasonographic types of the metastatic ovarian cancer:mass， cystic and mixed，which were 85.7%（18/21）、 9.5%（2/21）、4.8%（1/21），respectively.Ascites was accompanied by the metastatic ovarian cancer,the bilateral metastatic ovarian cancer were 71.4%（15/21）， unilateral metastatic ovarian cancer were 28.6%（6/21）.The diagnostic accuracy before operation of metastatic ovarian cancer were 61.9%（13/21）.Conclusion There exists some correlation between ultrasonographic morphologic features and pathology in metastatic ovarian cancer to certain extent.The bilateral were feature of metastatic ovarian cancer.The biologic behavior of metastatic ovarian cancer can be assessed according to ultrasonographic feature. ［Key words］ metastatic ovarian cancer;ultrasonography findings; pathology 我院1989～2005年共收治21例卵巢转移癌患者，其中13例术前超声明确诊断为卵巢转移癌，8例术前超声诊断为卵巢癌，后经术后病理证实为卵巢转移癌。本文回顾性分析总结卵巢转移癌的彩色多普勒超声表现，旨在进一步提高对卵巢转移癌的术前超声诊断水平。 1 资料与方法 1.1 一般资料 本组21例卵巢转移癌患者，年龄19～52岁，平均39岁。原发癌包括胃癌18例，结肠癌2例，乳腺癌1例。卵巢转移癌手术切除19例，另有2例因存在腹盆腔脏器广泛转移未切除肿瘤，仅行肿瘤病检。 1.2 方法 使用HDI-5000 Sonos CT、Acuson 128XP/10彩色超声诊断仪，探头频率为2～6 MHz。检查时，患者充盈膀胱，首先