Clinical study on ultrasonic diagnosis and differential diagnosis of thecoma of the ovary

ZHOU Suihua; WANG Yuli; FENG Chunxiang; YIN Xiaomei

doi:10.19401/j.cnki.1007-3639.2018.03.021

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Clinical study on ultrasonic diagnosis and differential diagnosis of thecoma of the ovary

更新时间：2025-12-15

- Clinical study on ultrasonic diagnosis and differential diagnosis of thecoma of the ovary
- Vol. 27, Issue 3, Pages: 232-235(2018)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：10.19401/j.cnki.1007-3639.2018.03.021
  CLC：
- Published Online：26 July 2018，
  
  Published：26 July 2018
- 稿件说明：
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周穗华,汪玉丽,冯春香,等. 超声诊断及鉴别诊断卵巢卵泡膜细胞瘤的临床研究[J]. 肿瘤影像学, 2018, 27(3): 232-235 https://doi.

org/10.19401/j.cnki.1007-3639.2018.03.021
周穗华,汪玉丽,冯春香,等. 超声诊断及鉴别诊断卵巢卵泡膜细胞瘤的临床研究[J]. 肿瘤影像学, 2018, 27(3): 232-235 https://doi. DOI： 10.19401/j.cnki.1007-3639.2018.03.021.

org/10.19401/j.cnki.1007-3639.2018.03.021 DOI：

摘要

目的：

探讨超声在卵巢卵泡膜细胞瘤诊断及鉴别诊断中的临床应用价值。

方法：

对2014年9月2016年8月广东省深圳市宝安区中心医院收治的36例卵巢卵泡膜细胞瘤患者进行回顾性分析，均采用超声及病理学检查，比较两种方法对卵巢卵泡膜细胞瘤的诊断结果及准确率。

结果：

超声检出肿块34例，检出率为94.44%；漏诊2例，漏诊率为5.56%；正确诊断28例，准确率为77.78%；误诊6例，误诊率为16.67%。其中超声鉴别诊断为实性肿瘤29例，占85.29%；鉴别诊断为囊实性肿瘤者5例，占14.71%。手术及病理检查形态与超声表现基本一致。

结论：

实性卵巢卵泡膜细胞瘤的超声表现具有特异性，为回声包块，边界清晰，内部未见或仅有少许血流信号，容易诊断。囊实性超声诊断较难，需与其他肿瘤如卵巢囊肿、畸胎瘤、卵巢癌进行鉴别诊断。因此，超声在卵巢卵泡膜细胞瘤的诊断及鉴别诊断中有较高应用价值。

Abstract

Objective:

To investigate the value of ultrasound in the diagnosis and differential diagnosis of thecoma of the ovary.

Methods:

Thirty-six cases with thecoma of the ovary hospitalized from Sep. 2014 to Aug. 2016 were retrospectively analyzed. All patients underwent ultrasonic and pathological examinations. The diagnosis accuracy and results of the two methods were compared.

Results:

Thirty-four cases were detected lesions by ultrasound (detection rate of 94.44%)

2 cases were missed diagnosed (5.56%)

28 cases were diagnosed correctly (diagnosis accuracy of 77.78%)

6 cases were misdiagno

sed (misdiagnosis rate of 16.67%). Twenty-nine cases were diagnosed as solid tumors by ultrasound

accounted for 85.29%. Five cases were diagnosed as cystic-solid tumors

accounted for 14.71%. The morphology detected by operation and pathology diagnosis were almost the same as that by ultrasound.

Conclusion:

The ultrasonographic manifestations of solid thecoma of the ovary are specific: echo mass

clear boundary

no or only a little blood flow signal

which could be easily diagnosed. It is difficult for ultrasound in differentiating cystic-solid thecoma of the ovary from ovarian cyst

teratoma and ovarian cancer. It is suggested that ultrasound has application value in the diagnosis and differential diagnosis of thecoma of the ovary.

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