Kidoura E, Shimizu H, Tsukahara Y, Inoue K, Rikimaru S, Ohama K, Kurumaya H
Department of Radiology, Ishikawa Prefectural Central Hospital, Japan.
Nihon Igaku Hoshasen Gakkai Zasshi. 1996 Feb;56(3):97-101.
The ultrasonographic findings of 25 lesions in 23 patients with surgically proven ovarian masses were reviewed. There were 10 cystic teratomas, two simple cysts, two follicular cysts, two mucinous cystadenomas, two NHL, one corpus luteum cyst, one hydrosalpinx, one serous cystadenoma, one yolk sac carcinoma, one dysgerminoma, one embryonal carcinoma, and one mixed form (yolk sac carcinoma, choriocarcinoma). All patients were less than 15 years old. We classified all cases into four patterns: cystic, cystic with mural nodule, mixed, and solid. Eight lesions of the cystic pattern included two simple cysts, two follicular, cysts and one corpus luteum cyst. The other lesions were benign, too. Nine lesions with the cystic with mural nodule pattern consisted of eight cystic teratomas and one mucinous cystadenoma. All lesions were benign. The mixed pattern was seen in four lesions, half of which were malignant, i. e., one embryonal carcinoma and one yolk sac carcinoma. Four lesions with the solid pattern were all malignant masses: one dysgerminoma, two NHL and one mixed form. In this classification, the cystic and cystic with mural nodule patterns are benign, while mixed and solid patterns are highly suggestive of malignancy.
回顾性分析23例经手术证实为卵巢肿块患者的25个病灶的超声检查结果。其中有10个囊性畸胎瘤、2个单纯囊肿、2个滤泡囊肿、2个黏液性囊腺瘤、2个非霍奇金淋巴瘤、1个黄体囊肿、1个输卵管积水、1个浆液性囊腺瘤、1个卵黄囊癌、1个无性细胞瘤、1个胚胎癌和1个混合性肿瘤（卵黄囊癌、绒毛膜癌）。所有患者年龄均小于15岁。我们将所有病例分为四种类型：囊性、囊壁有结节的囊性、混合性和实性。囊性类型的8个病灶包括2个单纯囊肿、2个滤泡囊肿和1个黄体囊肿。其他病灶也均为良性。囊壁有结节的囊性类型的9个病灶包括8个囊性畸胎瘤和1个黏液性囊腺瘤。所有病灶均为良性。混合性类型见于4个病灶，其中一半为恶性，即1个胚胎癌和1个卵黄囊癌。实性类型的4个病灶均为恶性肿块：1个无性细胞瘤、2个非霍奇金淋巴瘤和1个混合性肿瘤。在这种分类中，囊性和囊壁有结节的囊性类型为良性，而混合性和实性类型高度提示为恶性。
