临床误诊误治2024，Vol.37Issue(14)：14-17,4.DOI:10.3969/j.issn.1002-3429.2024.14.004
女性盆腔非生殖系统肿物超声误诊分析
Analysis of Ultrasonic Misdiagnosis of Non-reproductive System Masses in the Female Pelvis
摘要
Abstract
Objective To explore the ultrasonic characteristics,causes of misdiagnosis and preventive measures of non-reproductive system tumors in the female pelvis,so as to improve the accuracy of ultrasound diagnosis of non-reproductive system tumors in the female pelvis and reduce the occurrence of clinical misdiagnosis and mistreatment.Methods From April 2020 to May 2023,the data of 12 female patients with non-reproductive system tumors in the pelvis misdiagnosed by ul-trasound were retrospectively analyzed.Results Among the 12 patients,nausea,vomiting,abdominal distension and sudden right lower abdominal pain were the main manifestations in 1 patient,fever and wasting were the main manifestations in 4 pa-tients,low back pain and lower limb numbness and pain were the main manifestations in 4 patients,irregular vaginal bleed-ing,fever,fatigue,lack of appetite and loss of body mass were the main manifestations in 3 patients.After ultrasound exami-nation,3 patients were diagnosed with malignant ovarian cyst,and then diagnosed with uterine angiomyolipoma by pathological examination.The primary diagnosis of female reproductive system tumor was made in 1 patient,which was later diagnosed as low-grade mucinous cystadenocarcinoma of the appendix by pathological examination.The initial diagnosis was endometriosis cyst in 4 patients,and the pathological examination later confirmed retroperitoneal schwannoma with cystic degeneration.Ovarian cancer was initially diagnosed in 4 patients,and pelvic tuberculosis was diagnosed by pathological examination.Three patients with uterine angiomyolipoma were treated with tumor resection after diagnosis.One patient with low-grade mucinous cystadenocarcinoma of the appendix was treated with appendectomy after diagnosis,four patients with retroperitoneal schwan-noma and cystic degeneration were treated with complete surgical resection after diagnosis,and four patients with pelvic tuber-culosis were treated with full course of treatment and standard anti-tuberculosis drugs after diagnosis.To date,the patient's condition was stable and no recurrence was reported.Conclusion The sources of non-reproductive system tumors in the fe-male pelvis are complex,and the ultrasonographic manifestations are diverse and atypical.In diagnosis,sonographers should pay attention to the comprehensive scan and detailed observation of pelvic masses in combination with the results of clinical and other imaging examinations,carefully determine the source and benign and malignant tumors,and finally make a definite diag-nosis through pathological examination.关键词
盆腔非生殖系统肿物/女性/超声检查/血管平滑肌脂肪瘤/黏液性囊腺癌/腹膜后神经鞘膜瘤/盆腔结核/误诊/卵巢肿瘤Key words
Non-reproductive system tumors in the pelvis/Female/Ultrasound examination/Angiomyolipoma/Mu-cinous cystadenocarcinoma/Retroperitoneal neurinemoma/Pelvic tuberculosis/Misdiagnosis/Ovarian tumor分类
临床医学引用本文复制引用
杨珊燕,莫从辉..女性盆腔非生殖系统肿物超声误诊分析[J].临床误诊误治,2024,37(14):14-17,4.基金项目
长沙市自然科学基金(kq2208461) （kq2208461）
