| 魏妮娅,李晓坤,王玥.基于国际子宫内膜肿瘤分析(IETA)术语分析子宫内膜息肉样腺肌瘤超声表现[J].中国医学影像技术,2025,41(2):295~299 |
| 基于国际子宫内膜肿瘤分析(IETA)术语分析子宫内膜息肉样腺肌瘤超声表现 |
| Analyzing ultrasonic manifestations of endometrial polypoid adenomyoma based on international endometrial tumor analysis (IETA) terminology |
| 投稿时间：2024-08-07 修订日期：2024-12-13 |
| DOI：10.13929/j.issn.1003-3289.2025.02.024 |
| 中文关键词: 子宫内膜肿瘤 腺肌瘤 超声检查 国际子宫内膜肿瘤分析 |
| 英文关键词:endometrial neoplasms adenomyoma ultrasonography international endometrial tumor analysis |
| 基金项目:深圳市医学重点学科建设项目(SZXK051)、深圳市“医疗卫生三名工程”项目(SZSM202111011)。 |
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| 中文摘要: |
| 目的 基于国际子宫内膜肿瘤分析(IETA)术语分析子宫内膜息肉样腺肌瘤超声表现。方法 回顾性分析88例经手术病理证实的子宫内膜息肉样腺肌瘤,基于IETA术语分析其超声表现。结果 88例子宫内膜息肉样腺肌瘤子宫内膜厚2~21 mm、平均(9.1±5.0) mm。共检出93个病灶,72个位于宫腔、21个位于宫颈;其中11个表现为均质高回声内无囊肿、最大径(12.3±4.4) mm,7个为均质回声内含细小囊肿、最大径(19.5±8.9) mm,18个为不均质回声内无囊肿,32个为不均质回声内含形态规则囊肿、最大径(25.8±11.2) mm,21个为不均质回声内含形态不规则囊肿、最大径(29.4±17.5) mm,4个为囊性病灶、最大径(53.5±19.1) mm;血供模式主要为主血管无分支、多血管共起源及分散起源;血流评分多为1~3分。结论 子宫内膜息肉样腺肌瘤最初多表现为宫腔内均匀高回声团块,随病灶增大,其内部可出现细小囊肿,囊肿进一步增大可致形态不规则,病灶内回声不均匀并可脱入宫颈;少数病灶则以囊性成分为主。 |
| 英文摘要: |
| Objective To analyze ultrasonic manifestations of endometrial polypoid adenomyoma based on international endometrial tumor analysis (IETA) terminology. Methods Totally 88 patients with endometrial polypoid adenomyoma confirmed by surgery and pathology were retrospectively enrolled, and the ultrasonic manifestations of lesions were analyzed based on IETA terminology. Results The endometrial thickness in 88 cases of endometrial polypoid adenomyoma ranged from 2 to 21 mm, with an average thickness of (9.1±5.0) mm. A total of 93 lesions were detected, 72 in uterine cavity and 21 in cervix. Among 93 lesions, homogeneous hyperecho without cyst was observed in 11 lesions with the maximum diameter of (12.3±4.4) mm, homogeneous echo with small cyst was detected in 7 lesions with the maximum diameter of (19.5±8.9) mm, heterogeneous echo without cyst was observed in 18 lesions, heterogeneous echo with regular cysts was found in 32 lesions with the maximum diameter of (25.8±11.2) mm, heterogeneous echo with irregular cysts was found in 21 lesions with the maximum diameter of (29.4±17.5) mm, and the rest 4 were cystic lesions with the maximum diameter of (53.5±19.1) mm. Blood supply patterns of these lesions were mainly unbranched, multi-vessel co-origin and dispersed origin, and the blood flow scores were 1—3 points in most lesions. Conclusion Endometrial polypoid adenomyoma initially presented as uniform hyperechoic mass with uterine cavity. With progressively enlargement, the lesions might develope cystic formations, primarily consisting of multiple small cysts, which could become enlarged, irregular and hypoechoic, and the lesions became heterogeneous and entrapped in cervix. Meanwhile, predominant cystic pattern might be observed in a few lesions. |
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