表现
下腹部灼痛，延伸至下肢和下背部。
患者数据
年龄：40岁
性别：女
MRI
卵巢子宫内膜异位症
Axial
T2
卵巢子宫内膜异位症
Axial
T1
卵巢子宫内膜异位症
Sagittal
T1
卵巢子宫内膜异位症
Coronal
T1
卵巢子宫内膜异位症
Axial T1
out-of-phase
双侧卵巢子宫内膜异位囊肿在 T1WI 上显示为高强度信号，在 T2WI 上显示为阴影形式的不均匀低信号强度，具有小隔膜。
病例讨论
卵巢子宫内膜异位症。
混合成分的卵巢病变，伴有痛经症状，不表现为肠系膜、肠道或远处器官扩展，对促性腺激素释放激素 (Gn-RH) 激动剂和拮抗剂治疗有积极反应。
参考文献
1. Rousset P, Florin M, Bharwani N et al. Deep Pelvic Infiltrating Endometriosis: MRI Consensus Lexicon and Compartment-Based Approach from the ENDOVALIRM Group. Diagn Interv Imaging. 2023;104(3):95-112. doi:10.1016/j.diii.2022.09.004 - Pubmed
2. Kido A, Himoto Y, Moribata Y, Kurata Y, Nakamoto Y. MRI in the Diagnosis of Endometriosis and Related Diseases. Korean J Radiol. 2022;23(4):426-45. doi:10.3348/kjr.2021.0405 - Pubmed
3. El-Ali A, Tong A, Smereka P, Lala S. MRI for Endometriosis in Adolescent Patients. Pediatr Radiol. 2024;:1-12. doi:10.1007/s00247-024-06050-z - Pubmed
4. Takeuchi M, Matsuzaki K, Uehara H, Nishitani H. Malignant Transformation of Pelvic Endometriosis: MR Imaging Findings and Pathologic Correlation. Radiographics. 2006;26(2):407-17. doi:10.1148/rg.262055041 - Pubmed
5. Rousset P, Florin M, Bharwani N et al. Deep Pelvic Infiltrating Endometriosis: MRI Consensus Lexicon and Compartment-Based Approach from the ENDOVALIRM Group. Diagn Interv Imaging. 2023;104(3):95-112. doi:10.1016/j.diii.2022.09.004 - Pubmed
6. Niknejad M & Yang N. Endometriosis. Radiopaediaorg. 2009. doi:10.53347/rid-6699
7. França P, Lontra A, Fernandes P. Endometriosis: A Disease with Few Direct Treatment Options. Molecules. 2022;27(13):4034. doi:10.3390/molecules27134034 - Pubmed |
