Surratt J T, Siegel M J
Mallinckrodt Institute of Radiology, Washington University School of Medicine, St Louis, MO 63110.
Radiographics. 1991 Jul;11(4):533-48. doi: 10.1148/radiographics.11.4.1887110.
Ultrasonography is generally the initial diagnostic study of choice for evaluating suspected or known genital masses in young girls and adolescents. The authors reviewed the sonographic anatomy of the normal ovary and the sonographic spectrum in 88 pediatric patients with a variety of ovarian masses: simple and hemorrhagic cyst, teratoma, malignant tumor, tuboovarian abscess, torsion, and ectopic pregnancy. Among the various sonographic patterns observed, those of cystic ovarian masses and complex masses with mural nodules were the most specific, representing simple cysts and benign teratomas, respectively. Sonographic features of the remaining conditions were often similar, and diagnosis required correlation with clinical data and computed tomographic or magnetic resonance imaging findings.
超声检查通常是评估年轻女孩和青少年疑似或已知生殖器肿块的首选初始诊断研究。作者回顾了88例患有各种卵巢肿块的儿科患者的正常卵巢超声解剖结构和超声图谱，这些肿块包括单纯性和出血性囊肿、畸胎瘤、恶性肿瘤、输卵管卵巢脓肿、扭转和异位妊娠。在观察到的各种超声模式中，卵巢囊性肿块和伴有壁结节的复杂肿块的模式最具特异性，分别代表单纯性囊肿和良性畸胎瘤。其余情况的超声特征通常相似，诊断需要结合临床数据以及计算机断层扫描或磁共振成像结果。
