Polypoid endometriosis of the ovary mimicking ovarian carcinoma dissemination: a case report and literature review
Polypoid endometriosis of the ovary mimicking ovarian carcinoma dissemination: a case report and literature review
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类似卵巢癌播散的卵巢息肉样子宫内膜异位症一例报告及文献复习
DOI：
10.1111/jog.12358
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发表时间：
2014
期刊：
影响因子：
--
通讯作者：
Shiozawa T
中科院分区：
文献类型：
--
作者：
4.Yamada Y;Miyamoto T;Horiuchi A;Ohya A;Shiozawa T
息肉样子宫内膜异位症是一种罕见的子宫内膜异位症。我们报告一例卵巢息肉样子宫内膜异位症，类似卵巢癌并伴有腹膜播散。计算机断层扫描和磁共振成像显示左侧卵巢子宫内膜异位囊肿，囊壁内有多个结节，显示增强，右侧卵巢有盆腔结节。对于此类疾病，术前或术中诊断以避免不必要的延长手术非常重要。回顾性磁共振成像分析发现了息肉样子宫内膜异位症的一个特殊发现：所有实性结节均具有圆形和光滑的形状，并且在T2加权图像上显示出低信号强度的边缘边缘，表明这是区分息肉样子宫内膜异位症和子宫内膜异位症引起的卵巢癌的重要发现。
Polypoid endometriosis is a rare type of endometriosis. We report a case of polypoid endometriosis of the ovary mimicking ovarian carcinoma with peritoneal dissemination. Computed tomography and magnetic resonance imaging showed a left ovarian endometriotic cyst containing several nodules in the cystic wall that displayed enhancement, and pelvic nodules on the right ovary. A preoperative or intraoperative diagnosis to avoid the unnecessary extended operation is important for such disease. Retrospective magnetic resonance imaging analysis identified a peculiar finding for polypoid endometriosis: all solid nodules had a round and smooth shape and displayed a low‐signal‐intense marginal edge on T2‐weighted images, suggesting that this is an important finding for differentiating polypoid endometriosis from ovarian carcinoma arising from endometriosis.