Objective: To analyze the causes of ultrasound misdiagnosis of low position intestinal tumor in female patients for improving the preoperative diagnosis. Method: To review and analyze eighteen women with surgically and pathologically proved low position intestinal tumor who had been misdiagnosed as gynecologic tumor preoperatively by ultrasonography between 2008 and 2015.The causes of misdiagnosis were analyzed. Result: Imaging of preoperative ultrasonography denoted as gynecological tumor in 12 cases and did not reveal the source in other 6 cases. The mass was of cystic and solid echo in fifteen cases, hypoechoic in two cases, and anechoic in one case. Operative exploration revealed that the mass was from small intestine in all the cases and hence resection of the small intestine tumor was conducted. Pathological findings showed that 16 cases were small intestinal stromal tumor, one was small intestinal leiomyoma and one was intestinal deformity. Conclusions: Low position intestinal tumor in women are often misdiagnosed as uterine appendage tumor. Ultrasound is a preferred approach of examination, and special focus should be paid on the identification of blood supply and the relationship between the tumor and uterine appendage.
JIANG Meijiao, ZHAN Weiwei, CHEN Hui, XU Ruiyun, YANG Zhifang, LIU juan
. Misdiagnosis of low position intestinal tumors in women by ultrasonography[J]. Journal of Diagnostics Concepts & Practice, 2017
, 16(01)
: 109
-113
.
DOI: 10.16150/j.1671-2870.2017.01.021
[1] Faigel DO, Abulhawa S.Gastrointestinal stromal tumors: the role of the gastroenterologist in diagnosis and risk stratification[J]. J Clin Gastroenterol,2012,46(8):629-636.
[2] Grover S, Ashley SW, Raut CP.Small intestine gastrointestinal stromal tumors[J]. Curr Opin Gastroenterol,2012, 28(2):113-123.
[3] 龚程, 谭诗云, 丁一娟, 等. 52例小肠间质瘤的临床、病理及影像学特征[J]. 胃肠病学和肝病学杂志,2016,25(3):251-256.
[4] 李朝霞. 胃肠间质瘤的超声诊断价值[J]. 华西医学,2015,30(9):1675-1678.
[5] 李耀平, 梁小波, 原韶玲, 等. 超声在小肠间质瘤中的应用价值[J]. 山西医科大学学报,2007,38(6):537-539.
[6] 于传科. 胃肠道间质瘤病的超声诊断价值[J]. 临床辅助检查,2013,15(2):224-225.
[7] 赵丹瑜, 俞丽芬, 钟捷, 等. XAF1基因及蛋白在局灶性小肠胃肠道间质瘤组织中表达的研究[J]. 诊断学理论与实践,2010,9(5):453-456.
[8] 张光裕, 赵振华, 吕卫工, 等. 血管造影对小肠平滑肌肿瘤的临床应用价值[J]. 中国临床医学影像杂志,2000, 11(1):29-31.
[9] 李建龙. 选择性血管造影对小肠平滑肌瘤的诊断价值[J]. 现代肿瘤医学,2007,15(7):972-974.
[10] 刘岱, 杨付勇, 王瑾, 等. 小儿肠重复畸形的影像学诊断[J]. 中国现代普通外科进展,2005,28(1):12-13.
[11] Laje P, Flake AW, Adzick NS.Prenatal diagnosis and postnatal resection of intraabdominal enteric duplications[J]. J Pediatr Surg,2010,45(7):1554-1558.
[12] Haratz-Rubinstein N, Sherer DM.Prenatal sonographic findings of congenital duplication of the cecum[J]. Obstet Gynecol,2003,101(5 Pt 2):1085-1087.
[13] 陈小知, 黄福光, 潘尹. 肠重复畸形的超声诊断[J]. 中国超声诊断杂志,2006,7(2):108-110.
[14] 张玉红. 彩色多普勒超声对肠道间质瘤的诊断分析[J]. 临床合理用药,2012,5(1):94-95.
[15] 庄华, 张明智, 蕾蕾, 等. 胃肠超声造影检查法对胃肠间质瘤的诊断价值[J]. 生物医学工程学杂志,2013,30(3):493-498.
[16] 蔡伶伶, 杜光烨, 王博成, 等. 不同危险度胃肠道间质瘤CT、MRI影像学特征及分析[J]. 中国医学物理学杂志,2016,33(5):491-495.
