Adnexal Masses in Female Pediatric Patients
Adnexal Masses in Female Pediatric Patients
复制标题
DOI：
10.2214/ajr.11.7920
复制
发表时间：
2012-05-01
影响因子：
5
通讯作者：
Chen, Michael Y. M.
中科院分区：
文献类型：
--
作者：
Anthony, Evelyn Y.;Caserta, Melanie P.;Chen, Michael Y. M.
OBJECTIVE.本文综述了一系列的附件肿块，目前在儿科女性。首选的成像方式，正常卵巢的外观，卵巢疾病和异常的流行病学进行了讨论。图示的异常包括简单和复杂的卵巢和卵巢旁囊肿、肿瘤、卵巢扭转、异位妊娠和输卵管卵巢脓肿，注意影像学特征和血管血流模式有助于区分手术与非手术病例、恶性与良性病变以及卵巢异常与模仿者。在附件病变的背景下，放射科医生的关键临床问题是起源部位，良恶性特征，以及感染或脓肿的存在。临床表现和影像学检查结果的配对将指导适当的治疗，无论是安慰，随访影像学，或手术。
OBJECTIVE. This article reviews the range of adnexal masses that present in pediatric females. The preferred imaging modalities, the appearance of the normal ovaries, and the epidemiology of ovarian diseases and abnormalities are discussed. The illustrated abnormalities include simple and complex ovarian and paraovarian cysts, neoplasms, ovarian torsion, ectopic pregnancy, and tuboovarian abscess, with attention to the imaging features and vascular flow patterns that help distinguish surgical from nonsurgical cases, malignant from benign lesions, and ovarian abnormalities from mimickers.CONCLUSION. The critical clinical questions to the radiologist in the setting of adnexal lesions are the site of origin, benign versus malignant features, and presence of infection or abscess. Pairing clinical presentation and imaging findings will direct appropriate management, whether it is reassurance, follow-up imaging, or surgery.