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中华医学超声杂志(电子版) ›› 2023, Vol. 20 ›› Issue (05) : 572 -574. doi: 10.3877/cma.j.issn.1672-6448.2023.05.020

病例报告

宫颈妊娠合并卵巢甲状腺肿并甲状腺癌一例
李萍, 鲁红(), 唐兰兰   
  1. 310000 杭州,浙江大学医学院附属妇产科医院超声科
  • 收稿日期:2022-04-06 出版日期:2023-05-01
  • 通信作者: 鲁红

Cervical pregnancy with papillary thyroid cancer arising from left sided struma ovarii: a case report

Ping Li, Hong Lu(), Lanlan Tang   

  • Received:2022-04-06 Published:2023-05-01
  • Corresponding author: Hong Lu
引用本文:

李萍, 鲁红, 唐兰兰. 宫颈妊娠合并卵巢甲状腺肿并甲状腺癌一例[J]. 中华医学超声杂志(电子版), 2023, 20(05): 572-574.

Ping Li, Hong Lu, Lanlan Tang. Cervical pregnancy with papillary thyroid cancer arising from left sided struma ovarii: a case report[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2023, 20(05): 572-574.

图1 宫外妊娠患者第1次超声检查图像。图a示宫壁回声均匀,内膜回声不均,图b示不均质回声内见少许血流信号,图c、d为同一病灶横切面和纵切面,显示紧贴左侧卵巢可见不均质回声
图2 宫外妊娠患者住院后第2次超声检查图像。图a示宫颈管不均匀偏低回声内少许血流信号;图b示左侧附件区囊性肿块,多房囊性;图c示彩色多普勒超声可见不均匀强回声内较丰富血流信号;图d示能量多普勒超声病灶内较丰富血流信号
图3 宫外妊娠患者子宫颈磁共振检查图像。图a示TI加权像子宫颈腔内见条状等T1信号;图b示弥散加权成像未见弥散受限;图c示失状位T2加权像子宫颈腔内条状稍长T2信号;图d示增强扫描子宫颈腔内病灶不强化
图4 宫外妊娠患者左侧卵巢磁共振检查图像。图a示TI加权像左侧卵巢内见圆形T1稍高信号;图b示弥散加权成像未见弥散受限;图c矢状位T2加权像示左侧卵巢内圆形低信号;图d示增强扫描左侧卵巢内病灶不均匀强化
图5 切除组织病理图片。图a:所取组织中可见正常滤泡结构(HE×100),图b:肿瘤细胞呈乳头状、腺管状排列,核呈卵圆形、毛玻璃样,可见核沟(HE×200)
1
Khatchapuridze K, Kekelidze N, Tsitsishvili Z, et al. Papillary thyroid carcinoma in struma ovarii [J]. Gynecol Endocrinol, 2020, 36(8): 749-752.
2
Wei S, Baloch ZW, LiVolsi VA. Pathology of struma ovarii: a report of 96 cases [J]. Endocr Pathol, 2015, 26(4): 342-348.
3
Goffredo P, Sawka M, Pura J, et al. Malignant strumaovarii: apopulation-level analysis of alarge series of 68 patients [J].Thyroid, 2015, 25(2): 211-215.
4
白杨, 周先荣, 鹿欣. 恶性卵巢甲状腺肿发病机制和诊疗的研究进展 [J]. 国际妇产科学杂志, 2015, 42(6): 608-611.
5
徐玉乔, 周汝, 张红娟, 等. 卵巢甲状腺肿的临床病理特征及诊断思路 [J]. 中华病理学杂志, 2018, 47(9): 733-736.
6
Shen J, Xia X, Lin Y, et al. Diagnosis of struma ovarii with medical imaging [J]. Abdom Imaging, 2011, 36(5): 627-631.
7
Podfigurna A, Szeliga A, Horwat P, et al. Hyperthyroidism associated with struma ovarii-a case report and review of literature [J]. Gynecol Endocrinol, 2021, 37(12): 1143-1150.
8
杨倩, 杨筱, 刘真真, 等. 卵巢甲状腺肿的超声表现及病理特征对照 [J]. 中国医学科学院学报, 2015, 37(3): 309-314.
9
Dujardin MI, Sekhri P, Turnbull LW. Struma ovarii: role of imaging? [J]. Insights Imaging, 2014, 5(1): 41-51.
10
陈凤英, 张大伟, 张颖, 等. 卵巢甲状腺肿的超声和MRI影像表现与病理对照分析 [J].磁共振成像, 2019, 10(12): 913-916.
11
贺琰, 王小燕. 右侧卵巢恶性甲状腺肿子宫附件超声及造影表现1例并文献复习 [J]. 中国临床医学影像杂志, 2021, 32(4): 301-303.
12
张媛媛, 陈雁鸣. 误诊为宫内孕的宫颈妊娠11例临床分析 [J]. 中华生殖与避孕杂志, 2021, 41(7): 638-643.
13
Fylstra DL. Cervical pregnancy: 13 cases treated with suction curettage and balloon tamponade [J]. Am J Obstet Gynecol, 2014, 210(6): 581.e1-5.
14
Kirk E, Condous G, Haider Z, et al. The conservative management of cervical ectopic pregnancies [J]. Ultrasound Obstet Gynecol, 2006, 27(4): 430-437.
15
Webster K, Eadon H, Fishhburn S, et al. Ectopic pregnancy and miscarriage: diagnosis and initial management: summary of updated NICE guidance [J]. BMJ, 2019, 367: 16283.
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