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目的:探讨卵泡膜细胞瘤的声像图表现与诊断价值。方法;经手术病理证实的28例卵泡膜细胞瘤的超声诊断资料。结果:28例术前超声检查,9例提示卵泡膜细胞瘤的诊断,占32.1％;超声提示卵巢实质性肿瘤8例,占28.6％;卵巢囊腺瘤2例,占7.2％;卵巢囊性畸胎瘤3例,占10.7％;卵巢癌1例,占3.5％;误诊为浆膜下子宫肌瘤5例,占17.9％。结论:尽管卵泡膜细胞瘤不具有特征性声像图表现,但是掌握本病的声像图特点结合临床女性化表现有助于超声做出明确诊断。
Objective: To investigate the manifestation and diagnosis of theca cell tumor. Methods; Ultrasound diagnosis of 28 cases of theca cell tumor confirmed by surgery and pathology. Results: 28 cases were diagnosed by preoperative ultrasonography and 9 cases were diagnosed as achondromatocytoma, accounting for 32.1%. Ultrasound showed 8 cases of ovarian solid tumors (28.6%), 2 cases of ovarian cystadenoma (7.2%), ovarian cystic Teratoma in 3 cases, accounting for 10.7%; ovarian cancer in 1 case, accounting for 3.5%; misdiagnosed as subserosal uterine fibroids in 5 cases, accounting for 17.9%. CONCLUSIONS: While theca cells do not exhibit characteristic sonograms, mastery of the sonographic features of the disease in combination with clinical feminization contributes to a definitive diagnosis by ultrasound.