Fujii Shinya, Inoue Chie, Mukuda Naoko, Murakami Atsushi, Yamaji Daisuke, Yunaga Hiroto, Nosaka Kanae
Division of Radiology, Department of Multidisciplinary Internal Medicine, Faculty of Medicine, Tottori University, Yonago, Japan.
Department of Radiology, Tottori Prefectural Central Hospital, Tottori, Japan.
Acta Radiol Open. 2021 Jun 9;10(6):20584601211022504. doi: 10.1177/20584601211022504. eCollection 2021 Jun.
Endosalpingiosis is characterized by the presence of glands lined by benign tubal-type epithelium outside the fallopian tube. It is usually an incidental finding and rarely occurs as a tumor-like mass lesion. Here, we describe the magnetic resonance imaging findings of endosalpingiosis that presented as a paraovarian multicystic lesion. It exhibited iso to low intensity on T1-weighted images and inhomogeneous high intensity on T2-weighted images. The septa presented relatively iso to slight high intensity on T2-weighted images and strong contrast enhancement on dynamic contrast-enhanced imaging. Endosalpingiosis should be considered as a differential diagnosis in cases of paraovarian multicystic lesions along the uterine serosa.
输卵管内膜异位症的特征是在输卵管外存在由良性输卵管型上皮衬里的腺体。它通常是偶然发现的,很少以肿瘤样肿块病变的形式出现。在此,我们描述了表现为卵巢旁多囊性病变的输卵管内膜异位症的磁共振成像表现。它在T1加权图像上呈等信号至低信号,在T2加权图像上呈不均匀高信号。分隔在T2加权图像上呈相对等信号至轻度高信号,在动态对比增强成像上有明显的对比增强。对于沿子宫浆膜的卵巢旁多囊性病变,应考虑输卵管内膜异位症作为鉴别诊断。