Conte M, Guariglia L, Benedetti Panici P, Scambia G, Rabitti C, Capelli A, Mancuso S
Department of Obstetrics and Gynecology, Catholic University of Sacred Heart, Rome, Italy.
Gynecol Obstet Invest. 1991;32(1):51-4. doi: 10.1159/000292992.
The sonographic and histologic findings observed in 11 cases of ovarian fibrothecoma were compared, and an attempt was made to find a correlation between each histologic type of the tumor (pure thecoma, predominantly fibrous fibrothecoma, mixed fibrothecoma) and its sonographic appearance. The presence of a homogeneous echogenic pattern, with marked posterior acoustic shadowing, in the absence of any calcification, was highly suggestive of a predominantly fibrous ovarian fibrothecoma; the presence of a diffusely hypoechoic ovarian mass, with no posterior echo enhancement, was strikingly correlated with pure thecomas; mixed fibrothecomas were characterized by the presence of an echogenic pattern with no posterior acoustic shadowing. Sonographic findings, even though nonspecific, can provide the clinician with useful information which permits to detect these rare neoplasms preoperatively.
对11例卵巢纤维卵泡膜瘤的超声和组织学检查结果进行了比较，并试图找出肿瘤的每种组织学类型（纯卵泡膜瘤、以纤维为主的纤维卵泡膜瘤、混合型纤维卵泡膜瘤）与其超声表现之间的相关性。在无任何钙化的情况下，出现均匀回声模式且伴有明显后方声影，高度提示以纤维为主的卵巢纤维卵泡膜瘤；弥漫性低回声卵巢肿块且无后方回声增强，与纯卵泡膜瘤显著相关；混合型纤维卵泡膜瘤的特征是存在无后方声影的回声模式。超声检查结果虽然不具有特异性，但可为临床医生提供有用信息，有助于在术前检测出这些罕见肿瘤。
