Bashist B, Friedman W N, Killackey M A
Department of Radiology, St Luke's Roosevelt Hospital Center, New York, NY 10019.
Radiology. 1989 Dec;173(3):857-60. doi: 10.1148/radiology.173.3.2813797.
Therapeutic irradiation of the pelvis of a young female patient will result in loss of ovarian function. In a surgical technique termed ovarian transposition, the ovary is repositioned to the iliac fossa or paracolic gutter outside the radiation field. The computed tomographic (CT) scans and sonograms of five patients with cervical carcinoma who underwent this procedure were reviewed. The normal transposed ovary was of soft-tissue attenuation, often with one or more small cysts. Large cysts developed in the ovaries of three patients. One cyst was functional, another was due to a mesothelial inclusion cyst, and the third was most probably related to the transposition itself. Since the transposed ovary is difficult to palpate, CT or sonography can be used to demonstrate and follow up a cystic mass. Recognition of the appearance and location of the transposed ovary is important to avoid misinterpretation of a solid or cystic mass in patients who are at risk for tumor recurrence.
对年轻女性患者的骨盆进行治疗性放射会导致卵巢功能丧失。在一种称为卵巢移位术的外科技术中，卵巢被重新定位到辐射野外的髂窝或结肠旁沟。回顾了5例接受该手术的宫颈癌患者的计算机断层扫描（CT）和超声检查结果。正常移位的卵巢呈软组织密度，常伴有一个或多个小囊肿。3例患者的卵巢出现了大囊肿。一个囊肿是功能性的，另一个是间皮包涵囊肿，第三个很可能与移位本身有关。由于移位的卵巢难以触及，CT或超声可用于显示和随访囊性肿块。识别移位卵巢的外观和位置对于避免对有肿瘤复发风险的患者的实性或囊性肿块产生误解很重要。
