医学影像英语每日读丨52.Endometriosis and adnexa cyst

每天朗读一段医学影像学英语文章

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Now initially when you're looking at these CT images in this young woman who's having pelvic pain, you see that there's a huge complex cystic mass with a thick wall and some internal septations arising in the pelvis. Now even though the patient is young, I think our first thought was that this was some kind of an unusual cystic ovarian malignancy. But if you look at the MRI images, you realize that this is not a malignancy but rather this is a mass that's actually very T1 hyperintense as a result of internal blood products. This is a classic endometrioma. Now notice in addition, not really visible on the CT but quite obvious on the MR, there are multiple dilated tubular structures on the left adnexa, and noticed that they're also filled with T1 bright hemorrhage. So this patient has endometriosis with left-sided hematosalpinx.

年轻女子主诉盆腔疼痛，CT图像可见盆腔一巨大复杂囊性厚壁包块，内部可见少许分隔。即使该患者年龄不大，第一诊断往往是某种罕见的卵巢囊样恶性肿瘤。然而磁共振图像提示该包块并非恶性，T1高信号提示肿块内部为血液成分。这是典型的子宫腺肌瘤。其次，CT不可见但磁共振显示清晰的是，左侧附件区可见多发扩张管状结构，内部亦可见呈T1高信号的血液成分。该病人患有子宫腺肌症伴左侧输卵管积血。

Notes:

1. pelvic [ˈpɛlvɪk] adj. 骨盆的，关于骨盆的

2. septation [sep'teɪʃən] n. 分隔（作用）

3. ovarian [oˈvɛriən] adj. 卵巢的; 子房的

4. malignancy [məˈlɪɡnənsi] n. 恶性

5. endometrioma [endoʊ'mɪtrɪrmə] [医] 子宫内膜瘤，子宫腺肌瘤

6. dilated [daɪˈlet,ˈdaɪˌlet] vt. 扩张; 详述; 使扩大; 使膨胀; vi. 膨胀; 扩大; 详述

7. tubular [ˈtu:bjələ(r)] adj. 管系组织的; 管子形的，管状的

8. adnexa [æd'neksə] n. （器官的）附件

9. hemorrhage [ˈhɛmərɪdʒ] n. （尤指大量的） 出血，失血; vi. 大出血

10.endometriosis [ˌendoʊˌmi:trɪ'oʊsɪs] n. 子宫内膜异位

11. hematosalpinx [hemə'toʊzælpɪŋks] 输卵管积血

来源：每天朗读一段医学影像学英语文章

圈主

深圳市人民医院放射科副主任医师杨敏洁