Hönigl W, Reich O, Ranner G, Pickel H
Geburtshilflich-gynäkologische Univ.-Klinik Graz.
Ultraschall Med. 1997 Aug;18(4):165-8. doi: 10.1055/s-2007-1000418.
A 29 year-old woman presented with continuous metrorrhagia and a positive pregnancy test 3 1/2 months after vaginal birth. Transvaginal sonography showed a 3.5 x 4 x 4 cm mostly echogenic uterine mass with diffuse myometrial invasion in the right fundal region. Colour Doppler sonography revealed extensive low impedance flow in the periphery of the mass suggestive of a trophoblastic tumor. Histological examination of curettage specimens revealed a chorionic carcinoma. The tumor size as measured by magnetic resonance imaging correlated well with that by sonography. Trophoblastic disease after a normal pregnancy is rare. Early diagnosis can be facilitated by transvaginal colour Doppler sonography.
一名29岁女性在阴道分娩3个半月后出现持续性子宫出血，妊娠试验呈阳性。经阴道超声检查显示，右侧宫底区域有一个3.5×4×4厘米、大部分呈高回声的子宫肿块，伴有弥漫性肌层浸润。彩色多普勒超声显示肿块周边有广泛的低阻抗血流，提示滋养层细胞瘤。刮宫标本的组织学检查显示为绒毛膜癌。磁共振成像测量的肿瘤大小与超声检查结果高度相关。正常妊娠后的滋养层疾病较为罕见。经阴道彩色多普勒超声有助于早期诊断。
