什么在一个名字:图像命名法在性别发展的变化
Y Frances Fei1, Jennifer A Hansen-Moore2, Mitchell A Rees3
1Nationwide Children's Hospital, THRIVE-DSD Program, Columbus, OH, USA; Nationwide Children's Hospital, Division of Pediatric and Adolescent Gynecology, Columbus, OH, USA.
Journal of pediatric urology
|August 12, 2025
概括
性发育变异 (VSD) 的放射学报告经常使用令人困惑和不准确的术语来描述淋巴细胞组织. 建议在VSD患者中使用中性术语"gonads"以提高清晰度.
科学领域:
- 医学成像和放射学.
- 内分泌学和遗传学 在内分泌学和遗传学
- 儿科和青少年医疗保健服务
背景情况:
- 性发育变异 (VSD) 患者存在复杂的表型,其中淋巴体组织可能与型或指定的性别不一致.
- 目前的放射性报告实践显示,淋巴体结构的术语存在显著的变化,导致潜在的混.
- 经常建议使用中性术语"阴茎"来取代"卵巢"或"丸"等特定术语,以避免VSD病例的误解.
研究的目的:
- 分析用于性腺组织的命名法,用于对被诊断为性发育特异性变异 (VSD) 的患者的成像报告.
- 为了确定有关VSD患者的放射学报告中的术语的变化程度和准确性.
主要方法:
- 追溯队列研究分析了2007年至2021年的69份成像报告 (超声波和MRI).
- 包括被诊断患有完全雄激素不敏感综合征 (CAIS),性别染色体马赛克主义 (SCM) 和46XY淋巴腺异位 (GD) 的患者.
- 评估了与VSD诊断有关的特定术语 ("卵巢"",丸") 与中性术语 ("阴茎") 的使用情况.
主要成果:
- 没有关于CAIS患者的报告使用了"阴茎"一词.
- 在SCM (2/27报告) 和GD (4/16报告) 的成像报告中,术语"阴茎"很少使用.
- 在VSD被引用为成像 (32/69) 的原因的情况下,只有12% (4/32) 的报告使用了中立术语"阴茎".
结论:
- 在VSD患者的放射学报告中,淋巴腺组织的命名体系存在显著的变化和不准确性.
- 对于患有VSD的个人进行放射学报告,显然需要标准化最佳实践指南.
- 建议在已知的VSD或相关疾病患者的成像报告中始终使用中性术语"阴茎".
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