| 卫梅,叶显俊.阑尾黏液性腺癌伴卵巢转移超声误诊 14例分析[J].安徽医药,2019,23(12):2484-2486. |
| 阑尾黏液性腺癌伴卵巢转移超声误诊 14例分析 |
| Ultrasonographic misdiagnosis of appendiceal mucinous adenocarcinoma with ovarian metastasis:a report of 14 cases |
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| DOI：10.3969/j.issn.1009?6469.2019.12.038 |
| 中文关键词: 阑尾肿瘤 卵巢肿瘤 /继发性 超声检查 腺癌，黏液 误诊 |
| 英文关键词: Appendiceal neoplasms Ovarian neoplasms/secondary Ultrasonography Adenocarcinoma,mucinous Diagnos? tic errors |
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| 中文摘要: |
| 目的分析阑尾黏液性腺癌伴卵巢转移的声像图特点，分析导致误诊的原因。方法回顾性搜集中国科学技术大学附属第一医院(安徽省立医院) 2009年 4月至 2019年 2月间经超声检查并经手术病理证实的 14例阑尾黏液性腺癌伴卵巢转移病人的超声声像图特点。结果 14例中有 7例伴右侧卵巢转移， 7例伴双侧卵巢转移。术前超声均有明显异常表现，主要归纳为囊性包块型、囊实混合性包块型、大量腹腔积液伴包块型以及大量腹腔积液型。 14例病人术前超声检查均误诊为卵巢原发性肿瘤或其他肿瘤。结论阑尾黏液性腺癌伴卵巢转移发病率低，临床认识不足，且声像图与卵巢原发性肿瘤相似，导致鉴别困难，对于绝经后病人，若盆腔包块表现为双侧性，伴有腹膜假黏液瘤时，提示为阑尾来源卵巢继发性癌可能性大。 |
| 英文摘要: |
| Objective To analyze the sonographic characteristics of appendiceal mucinous adenocarcinoma with ovarian metastasisand the causes of misdiagnosis.Methods The ultrasonographic features of 14 cases of appendiceal mucinous adenocarcinoma withovarian metastasis examined by ultrasound and confirmed by pathology in our hospital from April 2009 to February 2019 were retro?spectively collected.Results Among the 14 patients，7 were associated with right ovarian metastasis and 7 with bilateral ovarian metastasis.Preoperative ultrasound showed obvious abnormalities，mainly including cystic mass type，cyst?solid mixed mass type， massive peritoneal effusion with mass type and massive peritoneal effusion type.All the 14 cases were misdiagnosed as primary ovarian tumors or other tumors by preoperative ultrasound.Conclusion The incidence of appendiceal mucinous adenocarcinoma with ovarian metastasis is low，and the clinical knowledge is insufficient.Moreover，the sonogram is similar to the primary ovarian tu? mor，leading to the difficulty in differentiation.For postmenopausal patients，if pelvic mass is bilateral，accompanied by pseudomyxo? ma peritonei，it indicates that the possibility of appendiceal secondary cancer is high. |
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