Manifestation of MSCT of ovarian endometriosis cycsts

Ying Li, Jianqiang Shi
In: Central Plains Medical Journal · 2018 · vol. 45(13) , pp. 46–48 · doi:10.3760/cma.j.issn.1674-4756.2018.13.015 · W3028886208
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Multi-slice spiral computed tomography revealed characteristic features of ovarian endometriosis cysts including varied density, irregular outer edges, satellite cysts, and cystic wall enhancement, aiding in preoperative diagnosis.

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This retrospective study analyzed multi-slice spiral computed tomography (MSCT) findings in 20 patients with ovarian endometriosis cysts to improve diagnostic accuracy. The researchers compared imaging data against surgical and pathological results, identifying key features such as variable density, satellite cysts, irregular outer margins, and adhesion to surrounding tissues. While the CT manifestations showed distinct characteristics, the authors noted that integrating clinical history remains essential for precise preoperative localization and diagnosis. This paper is centrally about endometriosis — specifically the radiological presentation of ovarian endometriomas via MSCT imaging.

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Abstract

Objective To investigate the manifestation of multi-slice spiral computed tomography (MSCT) on ovarian endometriosis cycsts, and to improve diagnostic accuracy of CT. Methods The MSCT manifestation and clinical data of 20 patients with ovarian endometriosis cysts who were diagnosed and treated in Shanxi Provincial People’s Hospital from January 2016 to January 2018 were retrospectively studied and compared with their surgery outcome and pathological results to analyze the reason of misdiagnosis. Results Among the 20 patients, within 27 lesions totally, 13 patients had unilateral lesion, and 7 patients had bilateral lesions. Manifestation of MSCT: ①the density is varied from water sample to fresh blood sample; ② irregular peripheral outer edge, smoothing inner edge, but no obvious mural nodules; ③small cycts (satellites style) outside the main cycsts is the characteristic; ④cystic wall enhanced from light to moderate evenly; ⑤adhesion to surrounding tissue to varying degrees. Conclusions The MSCT manifestation of ovarian endometriosis cysts has certain characteristics. Understanding clinical data and medical history is conducive to locate lesion and qualitative diagnosis accurately prior to surgery. Key words: Ovarian; Endometriosis; Cyst; Computed tomography
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摘要目的 探讨子宫内膜异位囊肿的多层螺旋CT(MSCT)表现,提高CT诊断的准确性.方法 分析2016年1月至2018年1月山西省人民医院收治的20例卵巢子宫内膜异位囊肿患者的CT影像学资料,并与手术、病理结果进行比较,分析误诊原因.结果 20例患者中单侧发病13 例,双侧发病7 例,共27 个病灶;MSCT表现有:①水样到新鲜出血样密度不等;②外缘毛糙不规整,内缘光整,无明显壁结节;③主囊外小子囊(卫星囊)为特征性表现;④囊壁均匀轻～中度强化;⑤与周围组织有不同程度粘连.结论 卵巢子宫内膜异位囊肿的MSCT征象具有一定特点,了解临床资料及病史有利于术前对病灶进行更准确地定位及定性诊断. 更多相关知识 abstractsObjective To investigate the manifestation of multi-slice spiral computed tomography (MSCT)on ovarian endometriosis cycsts,and to improve diagnostic accuracy of CT.Methods The MSCT manifestation and clinical data of 20 patients with ovarian endometriosis cysts who were diagnosed and treated in Shanxi Provincial People's Hospital from January 2016 to January 2018 were retrospectively studied and compared with their surgery outcome and pathological results to analyze the reason of misdiag-nosis.Results Among the 20 patients,within 27 lesions totally,13 patients had unilateral lesion,and 7 patients had bilateral lesions.Manifestation of MSCT:①the density is varied from water sample to fresh blood sample;②irregular peripheral outer edge,smoothing inner edge,but no obvious mural nod-ules;③small cycts (satellites style)outside the main cycsts is the characteristic;④cystic wall enhanced from light to moderate evenly;⑤adhesion to surrounding tissue to varying degrees.Conclusions The MSCT manifestation of ovarian endometriosis cysts has certain characteristics.Understanding clinical data and medical history is conducive to locate lesion and qualitative diagnosis accurately prior to surgery. More相关知识 - 浏览0 - 被引2 - 下载0 相似文献 - 中文期刊 - 外文期刊 - 学位论文 - 会议论文

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