55岁卵巢纤维瘤的影像学分析

Q4 Medicine Medicinski Casopis Pub Date : 2022-01-01 DOI:10.5937/mckg56-36030
Aleksandar Dević, A. Dević, M. Šorak, G. Zajic
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摘要

目标。我们报告了一位55岁的患者,卵巢纤维瘤尺寸为134x72x112 mm,相关的输卵管尺寸为55x9mm(以前的临时分析方法)。纤维瘤是一种良性卵巢肿瘤,由成纤维细胞、胶原纤维组成,起源于卵巢间质。它占所有卵巢肿瘤的1%至5%,发生在20至80岁的人群中,最常见于50岁以后。方法。超声检查显示子宫在约100毫升无回声的游离液体中游动。子宫前较大软组织肿物,与子宫连接不清,边界清晰,似可移动,尺寸为106x80mm。随后对腹部及小骨盆行MSCT、MR检查。在充分准备后,患者接受手术,并将获得的材料送去进行组织病理学诊断。结果。所分析的样本主要是由脊椎动物组织的梭形细胞组成的肿瘤增殖,在一些地方漩涡到结构松散的区域,胶原蛋白和直纤维聚集。这一组织学发现最适合于肌瘤,组织材料保存更清晰。结论。手术是卵巢肿瘤治疗的首选方法。尽管所有现代诊断方法的应用和可用性,在本病例报告中,肿瘤的起源是通过手术发现的。因此,我们可以得出结论,卵巢肿瘤的准确诊断是极其困难的。因此,有必要改进现有技术并发现新的诊断程序,在此基础上,医生将更容易决定,为了患者的利益,卵巢肿瘤的适当治疗。
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Imaging methods of ovarian fibroma in a 55-year-old patient
Objective. We present a patient aged 55 years, with ovarian fibroma measuring 134x72x112 mm and the associated fallopian tube measuring 55x9mm (previously analyzed ex tempore method). A fibroma is a benign ovarian tumor consisting of fibroblasts, collagen fibers and arising from the ovarian stroma. It accounts for 1% to 5% of all ovarian tumors and occurs in the population aged 20 to 80, most often after the age of 50. Methods. An ultrasonographic examination showed that the uterus swims in about 100 ml of anechoic free fluid. Anteuterine, a larger soft-tissue tumefaction, without a clear connection with the uterus, with clear borders and seemingly mobile, measures 106x80 mm. Following that, MSCT and MR of the abdomen and small pelvis were performed. After adequate preparation, the patient underwent a surgery, and the obtained material was sent for histopathological diagnosis. Results. The analyzed sample consisted of tumor proliferation of predominantly spindle cells organized by vertebrates, in some places vortex to zones of somewhat loose structure, focal with collagen and straight fibers. This histological finding is the most appropriate for fibroids, clearer preserved histological material. Conclusion. Surgery is the therapy of choice in the treatment of ovarian tumors. Despite the application and availability of all modern diagnostic methods, in this case report, the origin of the tumor was discovered by surgery. Consequently, we can conclude that accurate diagnosis of ovarian tumors is extremely difficult. In accordance with that, it is necessary to improve the existing techniques and discover new diagnostic procedures, on the basis of which the doctor would more easily decide, in the interest of the patient, on the adequate treatment of ovarian tumors.
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Medicinski Casopis
Medicinski Casopis Medicine-Medicine (all)
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