附件病变：超声及磁共振成像的影像学策略。

Adnexal lesions: Imaging strategies for ultrasound and MR imaging.

机构信息

Departments of Radiology, University of Wisconsin School of Medicine and Public Health, Clinical Science Center, E3/372, 600, Highland Avenue, 53792-3252 Madison, WI, United States; Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Clinical Science Center, E3/372, 600, Highland Avenue, 53792-3252 Madison, WI, United States.

Departments of Radiology, The Royal Marsden NHS Foundation Trust, Fulham Road, SW3 6JJ Chelsea, London, UK; Division of Surgery and Cancer, Imperial College London, South Kensington Campus, SW7 2AZ London, UK.

出版信息

Diagn Interv Imaging. 2019 Oct;100(10):635-646. doi: 10.1016/j.diii.2018.06.003. Epub 2018 Sep 1.

DOI:10.1016/j.diii.2018.06.003

PMID:30177450

Abstract

Adnexal lesions are routinely encountered in general practice. Ultrasound is the first line of investigation in determining the benign or malignant potential of an adnexal lesion. In the cases of classic simple cysts, hemorrhagic cysts, endometriomas, dermoids and obviously malignant lesions, ultrasound may be sufficient for management recommendations. In cases where there is an isolated adnexal lesion, without peritoneal disease or serum CA-125 elevation, and in lesions considered indeterminate on ultrasound, MR imaging with incorporation of the ADNEx MR score can increase the specificity for the diagnosis of benignity or malignancy. This article will review the imaging evaluation of adnexal lesions and how to incorporate the ADNEx MR score to help guide clinical management.

摘要

附件病变在普通临床实践中经常遇到。超声检查是确定附件病变良恶性潜能的首选方法。对于典型的单纯囊肿、出血性囊肿、子宫内膜异位囊肿、皮样囊肿和明显的恶性病变，超声检查可能足以提供管理建议。对于孤立的附件病变，无腹膜疾病或血清 CA-125 升高，且超声检查结果不确定的情况下，结合 ADNEx MR 评分的磁共振成像（MRI）可以提高诊断良恶性的特异性。本文将回顾附件病变的影像学评估，以及如何结合 ADNEx MR 评分来帮助指导临床管理。