卵巢良性和交界性浆液/黏液肿瘤影像学表现的差异。

IF 1.4 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2025-10-13 DOI:10.1002/jcu.70078

Ailing Xu, Fang Nie, Luping Liu, Lan Bu, Ting Wang, Qing Ma

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引用次数: 0

摘要

目的：回顾性分析卵巢良性和交界性浆液/黏液肿瘤影像学表现的差异。方法：分析卵巢良性和交界性肿瘤的影像学特征，包括肿瘤最大直径、侧边性、肿瘤形态、实性成分比例、囊性实体瘤乳头突数。结果：共检查肿瘤189例，其中良性肿瘤117例，交界性肿瘤72例。交界性肿瘤的平均最大直径高于良性肿瘤（14.32±9.93∶8.62±6.69），两种肿瘤的p < 15%均很小（1.71%∶4.71%）。在单房囊肿和多房囊肿中，直径为10 ~ 10 cm的交界性肿瘤多于良性肿瘤。超声O-RADS鉴别良性和交界性肿瘤的敏感性和特异性略低于IOTA SR（86.1%对91.7%，81.2%对82.1%）。结论：与良性肿瘤相比，交界性肿瘤体积更大，实体成分更多。超声O-RADS鉴别良性和交界性肿瘤的敏感性和特异性略低于IOTA的SR。

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Differences in Imaging Findings Between Benign and Borderline Ovarian Serous/Mucous Tumors.

Objectives: To retrospectively analyze the differences in imaging findings between benign and borderline ovarian serous/mucous tumors.

Methods: Imaging features of benign and borderline ovarian tumors were analyzed, including the tumor maximum diameter, laterality, tumor morphology, proportion of solid components, and the number of papillary processes in cystic solid tumors.

Results: A total of 189 tumors were evaluated, including 117 benign tumors and 72 borderline tumors. The mean maximum diameter of borderline tumors was higher than that of benign tumors (14.32 ± 9.93 vs. 8.62 ± 6.69, p < 0.05). Borderline tumors with solid components accounted for more than benign tumors (41.67% vs. 8.55%). The proportion of solid component volume/tumor volume > 15% in both benign and borderline tumors was very small (1.71%, 4.71%). In unilocular cysts and multilocular cysts, borderline tumors with diameters > 10 cm accounted for more than benign tumors. The sensitivity and specificity in distinguishing benign and borderline tumors of ultrasonography O-RADS are slightly lower than those of SR of IOTA (86.1% vs. 91.7%, 81.2% vs. 82.1%).

Conclusions: In conclusion, the borderline tumors are larger and have more solid components than the benign tumors. The sensitivity and specificity in distinguishing benign and borderline tumors of ultrasonography O-RADS are slightly lower than those of SR of IOTA.

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来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.