Kalmantis Konstantinos, Iavazzo Christos, Anastasiadou Vasiliki, Antsaklis Aris
Department of Obstetrics and Gynecology, IASO Hospital, 10433 Athens, Greece.
Case Rep Med. 2011;2011:896396. doi: 10.1155/2011/896396. Epub 2011 Aug 25.
Background. Conventional sonography is the primary imaging tool for these pregnant women who present with an ovarian teratoma. In some cases, however, sonography diagnosis is difficult. We report a case of ovarian teratoma during pregnancy diagnosed by three-dimensional Power Doppler. The cyst was removed via laparotomy without fetal or maternal complications. Three-dimensional ultrasound with multiplanar view can better discriminate a benign ovarian teratoma from complex ovarian lesions or malignant tumors. Its role is significant especially during pregnancy as it may assist in determining which patients are requiring surgery and which are not. The results of three-dimensional sonography and magnetic resonance (MR) were equal but the role of MR imaging is limited in early pregnancy. Conclusions. Three-dimensional technique is a reliable diagnostic modality for preoperative assessment of an ovarian teratoma as it can be performed during the first trimester of pregnancy.
背景。传统超声检查是这些患有卵巢畸胎瘤的孕妇的主要影像学检查手段。然而，在某些情况下，超声检查诊断困难。我们报告一例通过三维能量多普勒诊断的妊娠期卵巢畸胎瘤病例。经剖腹手术切除囊肿，未出现胎儿或母体并发症。具有多平面视图的三维超声能够更好地将良性卵巢畸胎瘤与复杂卵巢病变或恶性肿瘤区分开来。其作用尤为重要，特别是在妊娠期，因为它有助于确定哪些患者需要手术，哪些患者不需要。三维超声检查和磁共振成像（MR）的结果相当，但MR成像在孕早期的作用有限。结论。三维技术是术前评估卵巢畸胎瘤的可靠诊断方法，因为它可在妊娠早期进行。
