道格拉斯袋多发性子宫内膜异位症的罕见表现：病例报告

IF 2 4区医学 Q4 Medicine

Journal of the Belgian Society of Radiology Pub Date : 2024-02-13 DOI:10.5334/jbsr.3420

Emilie Demondion, Yves Borghesi, Nathalie Trouillet

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引用次数: 0

摘要

报告了一例因月经过多而转诊至磁共振成像（MRI）的 46 岁女性病例。磁共振成像显示子宫底外侧有肿块病变，怀疑是卵巢颗粒细胞瘤。于是进行了广泛手术。组织学检查显示，病变部位为道格拉斯袋多发性子宫内膜异位症。教学要点息肉样子宫内膜异位症是一种罕见的良性病变，与恶性肿瘤的鉴别诊断极具挑战性。特定的磁共振成像特征有助于诊断，从而避免过度的手术切除。

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A Rare Presentation of Polypoid Endometriosis of the Douglas Pouch: Case Report

A case is reported of a 46-year-old woman referred to a magnetic resonance imaging (MRI) for menometrorrhagia. MRI revealed a mass lesion lateral to the uterus fundus, suspicious of an ovarian granulosa cell tumor. Extensive surgery was performed. Histological examination revealed a polypoid endometriosis lesion arising from the Douglas pouch. Teaching point: Polypoid endometriosis is a rare benign entity with a challenging differential diagnosis from malignancy. Specific MRI features can contribute to the diagnosis and thus avoid excessive surgical resection.

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来源期刊

Journal of the Belgian Society of Radiology Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

0.60

自引率

5.00%

发文量

审稿时长

6-12 weeks

期刊介绍： The purpose of the Journal of the Belgian Society of Radiology is the publication of articles dealing with diagnostic and interventional radiology, related imaging techniques, allied sciences, and continuing education.