Aragon Lorenzo, Terreros Daniel, Ho Hoi, Greenberg Harvey, Kupesic Plavsic Sanja
Department of Family and Community Medicine, Paul L. Foster School of Medicine, TX Tech University Health Sciences Center, 9849 Kenworthy, El Paso, TX 79924, USA.
J Clin Ultrasound. 2011 Jul;39(6):351-5. doi: 10.1002/jcu.20821. Epub 2011 Apr 15.
We report the case of a 39-year-old woman who presented with a pelvic mass extending into the upper abdomen. Transabdominal sonography revealed a complex left adnexal mass. Color Doppler imaging and spectral Doppler analysis showed increased vascularity with low impedance blood flow signals, suggestive of neovascularization. The patient underwent a laparotomy and a 56-kg predominantly cystic tumor was removed from the left adnexal region. The patient died 3 months later with pulmonary metastases and massive pulmonary hemorrhage. Postmortem resampling of the ovarian tumor initially diagnosed as mucinous cystadenoma showed nodular areas of malignant pleomorphic cells consistent with angiosarcoma.
我们报告了一例39岁女性患者，其盆腔肿物向上延伸至中上腹。经腹超声检查发现左侧附件区有一复杂肿物。彩色多普勒成像及频谱多普勒分析显示血管增多，血流信号呈低阻力，提示有新生血管形成。患者接受了剖腹手术，从左侧附件区切除了一个重达56千克的以囊性为主的肿瘤。患者于3个月后死于肺转移及大量肺出血。对最初诊断为黏液性囊腺瘤的卵巢肿瘤进行尸检重新取样，结果显示有结节状区域，内见与血管肉瘤相符的恶性多形性细胞。
