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分叶状卵巢作为一种罕见的先天性异常:磁共振成像表现

Lobulated ovary as a rare congenital anomaly: MR findings.

作者信息

Tanaka Yumiko O, Kanao Hiroyuki

机构信息

Diagnostic Imaging Department, Cancer Institute Hospital of Japanese Foundation for Cancer Research, 3-8-31 Ariake, Koto-Ku, 135-8550, Tokyo, Japan.

Department of Gynecologic Oncology, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo, Japan.

出版信息

Radiol Case Rep. 2022 Jan 13;17(3):894-897. doi: 10.1016/j.radcr.2021.12.041. eCollection 2022 Mar.

Abstract

The congenital anomaly of the ovary is classified as a supernumerary, accessory, and lobulated ovary (LO). Although the former two entities are anomalies of abnormal location, LO is a category of morphological abnormality of the ovary. There are several case reports of this entity; however, most of them were diagnosed during surgery or histopathologically. One case report included ultrasound findings, with the diagnosis confirmed during surgery. We report a young-adult case with LO diagnosed and followed up with MR. Although LO is a rare congenital anomaly, it might be misdiagnosed as malignant tumors, as in our case. Therefore, radiologists and gynecologists should look out for this entity in MR findings, which can prove to be crucial in preventing unnecessary surgery.

摘要

卵巢先天性异常可分为额外卵巢、副卵巢和分叶状卵巢(LO)。尽管前两者是位置异常的异常情况,但LO是卵巢形态异常的一种类型。有几例关于该实体的病例报告;然而,其中大多数是在手术或组织病理学检查时确诊的。一份病例报告包括超声检查结果,手术时确诊。我们报告一例年轻成年女性分叶状卵巢病例,通过磁共振成像(MR)进行诊断和随访。尽管LO是一种罕见的先天性异常,但在我们的病例中,它可能被误诊为恶性肿瘤。因此,放射科医生和妇科医生在MR检查结果中应留意该实体,这对于避免不必要的手术可能至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/02e3/8760526/a564c1641a27/gr1.jpg

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