Abstract: Objective: To investigate the MRI and ultrasonic features of struma ovarii(SO) and to improve the diagnostic level. Methods: The MRI, ultrasound features and pathological findings of 9 cases of SO proved by operation and pathology were retrospectively analyzed. Results: All of the 9 cases were unilateral, 7 cases on the right and 2 cases on the left. On plain MRI, 3 cases were cystic and 6 cases were mixed cystic and solid, nodules were seen in 5 cases. The signals of mass were complex, high signals on T1WI were seen in 7 cases, extremely low signals were seen on T2WI in 7 cases. The ADC values of the high signal regions, low signal regions and extremely low signal regions were (2.576±0.130)×10-3 mm2/s, (1.641±0.349)×10-3 mm2/s, (0.763±0.373)×10-3 mm2/s. On enhanced MRI, the solid, wall and septum of the mass were obviously enhanced. The ultrosonic findings were mixed masses with poor acoustic transmission, dense and thick light-spots were found in 4 cases while strong-echo light-spots were found in 5 cases. Conclusion: There are certain characteristics in MRI and ultrosonic findings of SO. The MRI combined with ultrosonography might be of great value for diagnosis of SO.
程美英,赵 鑫,张小安,赵俊锋,鲁海燕,曹 静. 卵巢甲状腺肿的MRI和超声表现及病理对照分析[J]. 中国临床医学影像杂志, 2018, 29(10): 726-728.
CHENG Mei-ying, ZHAO Xin, ZHANG Xiao-an, ZHAO Jun-feng, LU Hai-yan, CAO Jing. Comparative analysis of MRI and ultrasound features and pathology of struma ovarii. JOURNAL OF CHINA MEDICAL IMAGING, 2018, 29(10): 726-728.
[1]Outwater EK, Siegelman ES, Hunt JL. Ovarian teratomas: tumor types and imaging characteristics[J]. Radiographics, 2001, 21(2): 475-490.
[2]Roth LM, Talerman A. The enigma of struma ovarii[J]. Pathology, 2007, 39(1): 139-146.
[3]Qiao PF, Gao Y, Niu GM. Struma ovarii accompanied by mature cystic teratoma of the other ovary: A case report and literature review[J]. Oncol Lett, 2015, 9(5): 2053-2055.
[4]Ikeuchi T, Koyama T, Tamai K, et al. CT and MR features of struma ovarii[J]. Abdom Imaging, 2012, 37(5): 904-910.
[5]Wei S, Baloch ZW, LiVolsi VA. Pathology of Struma Ovarii: A Report of 96 Cases[J]. Endocr Pathol, 2015, 26(4): 342-348.
[6]Teale E, Gouldesbrough DR, Peacey SR. Graves’ disease and coexisting struma ovarii: struma expression of thyrotropin receptors and the presence of thyrotropin receptor stimulating antibodies[J]. Thyroid, 2006, 16(8): 791-793.
[7]Tanimanidis P, Chatzistamatiou K, Nikolaidou A, et al. Struma ovarii. A case report[J]. Hippokratia, 2014, 18(4): 357-358.
[8]Loizzi V, Cormio G, Resta L, et al. Pseudo-Meigs syndrome and elevated CA125 associated with struma ovarii[J]. Gynecol Oncol, 2005, 97(1): 282-284.
[9]章瑜,梅海炳. 卵巢甲状腺肿的影像学诊断[J]. 温州医科大学学报,2015,45(9):683-686.
[10]Medeiros LR, Freitas LB, Rosa DD, et al. Accuracy of magnetic resonance imaging in ovarian tumor: a systematic quantitative review[J]. Am J Obstet Gynecol, 2011, 204(1): 67.e1-10.
[11]李坤,李威,潘振宇,等. 扩散加权成像信号与液体内蛋白质的相关性实验研究[J]. 中国医学影像学杂志,2015,26(6):413-417.
[12]Baysal T, Bulut T, Gokirmak M, et al. Diffusion-weighted MR imaging of pleural fluid: differentiation of transudative vs exudative pleural effusions[J]. Eur Radiol, 2004, 14(5): 890-896.
[13]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]. 中国医学科学院报,2015,37(3):309-314.