妇科疾病影像学（十一）：黏液性卵巢肿瘤的临床及超声表现。

Imaging in gynecological disease (11): clinical and ultrasound features of mucinous ovarian tumors.

机构信息

Department of Obstetrics and Gynecology, Catholic University of the Sacred Heart, Rome, Italy.

Department of Histopathology, Catholic University of the Sacred Heart, Rome, Italy.

出版信息

Ultrasound Obstet Gynecol. 2017 Aug;50(2):261-270. doi: 10.1002/uog.17222. Epub 2017 Jun 22.

DOI:10.1002/uog.17222

PMID:28782867

Abstract

OBJECTIVE

To describe the clinical and ultrasound findings in patients with mucinous ovarian tumors.

METHODS

In this retrospective study, women with a histological diagnosis of mucinous ovarian tumor who had undergone preoperative ultrasound examination were identified from the database of a single ultrasound center. The histological examination was performed by the same pathologist in all cases, and the ultrasound appearance of the tumors was described using the terms and definitions of the International Ovarian Tumor Analysis group.

RESULTS

We identified 123 women with a histological diagnosis of mucinous ovarian tumor, of whom 57 (46%) had benign cystadenoma, 34 (28%) had gastrointestinal (GI)-type borderline tumor, 10 (8%) had endocervical-type borderline tumor and 22 (18%) had GI-type invasive carcinoma. On ultrasound examination, 65% (37/57) of cystadenomas were multilocular, of which 59% had ≤ 10 locules, and 79% (27/34) of GI-type borderline tumors were multilocular, of which 89% had > 10 locules. Conversely, 60% (6/10) of endocervical-type borderline tumors had papillations. Eighty-two percent (18/22) of invasive masses contained solid components and 55% (12/22) were multilocular-solid cysts. Bilateral mucinous cystadenomas were found in two women (4% of women with benign tumors) and bilateral borderline tumors of endocervical type in two women (20% of women with borderline tumors of endocervical type). No woman had a bilateral GI-type borderline tumor or a bilateral invasive tumor.

CONCLUSIONS

A multilocular cyst with 2-10 locules is representative of a benign cystadenoma, whereas a multilocular cyst with > 10 locules is indicative of a GI-type borderline tumor. Most invasive tumors of mucinous GI-type contain solid components, the most typical ultrasound appearance being that of a multilocular-solid tumor. Papillary projections are typical features of endocervical-type borderline tumors. Copyright © 2016 ISUOG. Published by John Wiley & Sons Ltd.

摘要

目的

描述黏液性卵巢肿瘤患者的临床和超声表现。

方法

在这项回顾性研究中，我们从一个单一的超声中心的数据库中确定了经组织学诊断为黏液性卵巢肿瘤且接受术前超声检查的女性。所有病例的组织学检查均由同一位病理学家进行，并且使用国际卵巢肿瘤分析组的术语和定义来描述肿瘤的超声表现。

结果

我们确定了 123 名经组织学诊断为黏液性卵巢肿瘤的女性，其中 57 名（46%）为良性囊腺瘤，34 名（28%）为胃肠道（GI）型交界性肿瘤，10 名（8%）为宫颈型交界性肿瘤，22 名（18%）为 GI 型浸润性癌。在超声检查中，65%（37/57）的囊腺瘤为多房性，其中 59%的肿瘤有≤10 个房腔，而 79%（27/34）的 GI 型交界性肿瘤为多房性，其中 89%的肿瘤有>10 个房腔。相反，60%（6/10）的宫颈型交界性肿瘤有乳头突起。82%（18/22）的浸润性肿块含有实性成分，55%（12/22）为多房-实性囊肿。两名女性（良性肿瘤女性的 4%）存在双侧黏液性囊腺瘤，两名女性（宫颈型交界性肿瘤女性的 20%）存在双侧宫颈型交界性肿瘤。没有女性存在双侧 GI 型交界性肿瘤或双侧浸润性肿瘤。