超声波上的非可视化卵巢:与外科病理学的相关性
Ahmad Alhamshari1, Hannah R Krigman2, Cary L Siegel3
1College of Medicine, Alfaisal University, Riyadh, Saudia Arabia.
Ultrasound quarterly
|August 26, 2024
概括
盆腔超声波往往没有可视化卵巢. 这些非可视化的卵巢的外科病理学表明,大多数病变是良性的,恶性瘤只存在于腹癌的病例中.
科学领域:
- 放射学 放射学是一门学科.
- 妇科病理学 妇科病理学
- 在瘤学瘤学.
背景情况:
- 盆腔超声波是评估妇科病情的常见成像方法.
- 在盆腔超声波上对卵巢的可视化可能是有限的.
- 与非可视化卵巢相关的瘤风险需要准确的定义.
研究的目的:
- 为了确定卵巢中恶性瘤的风险,在盆腔超声波中无法可视化,使用外科病理学作为黄金标准.
- 量化非可视化卵巢中卵巢病变的发生率.
主要方法:
- 对2015年1月10日至2021年30月9日的盆腔超声波和外科病理记录的回顾性审查.
- 从放射学报告与外科病理学发现的卵巢可视化状态的相关性.
- 纳入标准侧重于非可视化卵巢的可用外科病理病例.
主要成果:
- 20.6%的卵巢 (87/422) 在盆腔超声波上没有可视化.
- 对于48个非可视化卵巢的手术病理学是可用的.
- 在35.4% (17/48) 的非可视化卵巢中发现了卵巢病变,主要是良性和亚厘米.
- 在一名患有并发性腹膜癌症的患者的两个卵巢中发现了恶性病变.
结论:
- 在盆腔超声波中,很大一部分卵巢无法可视化.
- 非可视化的卵巢经常存在良性病变,恶性瘤的风险很低.
- 腹膜癌症缺失是非视化卵巢低恶性瘤风险的一个关键因素.
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