| 摘要: |
| 目的：本研究对卵巢幼年型粒层细胞瘤（juvenile granulosa cell tumor, JGCT）超声图像特征进行分析，探讨超声特征与病理结果相关性，旨在增强超声医师对JGCT的认识。方法：回顾性收集了4例2013年6月-2023年6月在山西省儿童医院接受手术治疗，病理证实为JGCT患者，对病灶超声图像及病理特征分析。结果：患儿为6-17岁女童，病灶最大径均大于6cm，表现为囊实性，边界清晰，形态规则，囊性部分多发分隔，未见血流信号，内透声差，实性部分回声与肌层相比，表现为不均匀高回声，血流信号丰富，探及低阻动脉频谱，RI≤0.5。4/4例伴有腹腔积液，3/4例表现为子宫内膜增厚，2/4例伴有胸腔积液，1/4例伴有心包腔积液，积液均透声好。病理特征上，JGCT由颗粒细胞弥漫增生形成，同时有新生血管，囊性成分由颗粒细胞分泌的液体填充，或出血。结论：JGCT超声图像多呈巨大囊实性，合并多浆膜腔积液，超声表现与组织病理学存在密切相关性。 |
| 关键词: 幼年型粒层细胞瘤 超声图像 卵巢肿瘤 病理特征 |
| DOI： |
| 投稿时间：2024-06-19修订日期：2024-07-13 |
| 基金项目: |
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| Ultrasound Image and Pathological Characteristics Analysis of 4 Cases of Ovarian Juvenile Granulosa Cell Tumors |
| Yang xiuling,Huang jiayan,Lei yang,Lu qiang |
| () |
| Abstract: |
| Objective: In this study, we analyzed the ultrasonic image characteristics of juvenile granulosa cell tumor (JGCT) of the ovary, and discussed the correlation between the ultrasonic characteristics and pathological findings, so as to enhance the understanding of JGCT by sonographers.Methods: 4 patients who received surgical treatment in Shanxi Children's Hospital from June 2013 to June 2023 were retrospectively collected and pathologically proved to be JGCT patients. Ultrasound images and pathological features of the lesions were analyzed.Results: The patients were girls aged 6-17 years old, and the lesions were all larger than 6cm in diameter, with cystic firmness, clear boundaries, regular shape, multiple compartments in the cystic part, no blood flow signal, poor internal sound transmission, and uneven high echo in the solid part compared with muscle layer, rich blood flow signal, and low-resistance arterial spectrum, RI≤0.5. There were 4/4 cases with abdominal effusion, 3/4 cases with endometrial thickening, 2/4 cases with pleural effusion and 1/4 cases with pericardial effusion. All effusions were sound-clear. Pathologically, JGCT is formed by diffuse proliferation of granulosa cells, accompanied by neovasculature, cystic components filled by fluid secreted by granulosa cells, or bleeding.Conclusion: The JGCT ultrasound images are mostly large solid sac with multiple serous effusion, and there is a close correlation between the ultrasonic findings and histopathology. |
| Key words: Juvenile granulosa cell tumor Ultrasound image 0varian tumor Pathological features. |
