Sandler M A, Karo J J
Radiology. 1978 Apr;127(1):229-31. doi: 10.1148/127.1.229.
Ten cases of endometriosis presenting as pelvic masses are reviewed. Ultrasonically, these lesions were classified into three categories: cystic, mixed, and solid. In the cystic pattern, none had the smooth, well-defined wall and totally echo-free appearance characteristic of a simple cyst. Instead, the wall was shaggy and somewhat irregular with some evidence of septation. In the mixed type, the echographic appearance was compatible with pelvic inflammatory disease of an infectious etiology. In 3 cases with the solid pattern, the ultrasound appearance suggested ovarian malignancy. When the clinical setting and the age of the patient are suggestive of endometriosis, the sonographer should consider this possibility in his differential diagnosis of pelvic masses, regardless of the consistency of the lesion.
本文回顾了10例表现为盆腔肿块的子宫内膜异位症病例。超声检查时，这些病变可分为三类：囊性、混合性和实性。在囊性类型中，没有一个具有单纯囊肿那种光滑、边界清晰的壁以及完全无回声的特征表现。相反，囊壁粗糙且有些不规则，并有一些分隔的迹象。在混合性类型中，超声图像表现与感染性病因的盆腔炎相符。在3例实性类型的病例中，超声表现提示为卵巢恶性肿瘤。当临床情况和患者年龄提示有子宫内膜异位症时，超声检查者在对盆腔肿块进行鉴别诊断时应考虑到这种可能性，而不论病变的质地如何。
