Alpern M B, Sandler M A, Madrazo B L
AJR Am J Roentgenol. 1984 Jul;143(1):157-60. doi: 10.2214/ajr.143.1.157.
Parovarian cysts have received virtually no attention in the sonography literature, despite a common occurrence, constituting 10%-20% of adnexal tumorlike conditions in pathologic series. The sonographic features of 11 parovarian cysts, including a number with complications, are reported. Six uncomplicated lesions had the appearance of simple cysts found in other organs. One cyst had ruptured, and one lesion was associated with ipsilateral tubal torsion. Two cysts had echogenic areas representing blood clot. One cyst had a triangular papillation representing the development of a serous cystadenofibroma in its wall. This experience differs from previous reports in that there was increased incidence of preoperative recognition of an adnexal mass clinically, lack of identification of a fallopian tube exiting from the lateral aspect of the parovarian cyst and identification of complications sonographically, and the smaller average size of lesions, both clinically and sonographically. Parovarian cysts and their complications should be included in the differential diagnosis of cystic adnexal masses.
卵巢冠囊肿在超声检查文献中几乎未受到关注，尽管其很常见，在病理系列中占附件肿瘤样病变的10%-20%。本文报告了11例卵巢冠囊肿的超声特征，包括一些伴有并发症的病例。6例无并发症的病变表现为其他器官中所见的单纯囊肿。1例囊肿破裂，1例病变与同侧输卵管扭转有关。2例囊肿有代表血凝块的回声区。1例囊肿有三角形乳头状物，提示其壁上发生了浆液性囊腺纤维瘤。该经验与以往报告不同之处在于，临床上术前对附件包块的识别率增加，未发现输卵管从卵巢冠囊肿外侧穿出，超声检查发现了并发症，且病变在临床和超声检查中的平均大小较小。卵巢冠囊肿及其并发症应纳入附件囊性包块的鉴别诊断中。
