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目的探讨超声波对绝经后妇女卵巢恶性肿瘤定性误诊原因。方法回顾性分析 1994年 1月～ 2 0 0 0年 12月经手术病理证实的2 8例卵巢恶性肿瘤的病理诊断和超声波表现。结果 93例卵巢肿瘤 ,超声波误诊 2 8例。病理类型为 :浆液性囊腺癌 15例、粘液性囊腺癌 7例、内膜样癌 3例、未成熟畸胎瘤 2例、颗粒细胞瘤 1例。结论对卵巢肿瘤的复杂性认识不足 ,对绝经后妇女卵巢良性肿瘤确诊标准不严格以及腹部超声的局限性是误诊的主要原因
Objective To investigate the causes of qualitative misdiagnosis of ovarian cancer in postmenopausal women with ultrasound. Methods The pathological diagnosis and ultrasound manifestations of 28 ovarian malignant tumors confirmed by surgery and pathology from January 1994 to December 2000 were retrospectively analyzed. Results 93 cases of ovarian tumors, ultrasound misdiagnosis 28 cases. The pathological types were serous cystadenocarcinoma in 15 cases, mucinous cystadenocarcinoma in 7 cases, endometrioid carcinoma in 3 cases, immature teratoma in 2 cases and granulosa cell tumor in 1 case. Conclusions The lack of understanding of the complexity of ovarian tumors and the poor diagnostic criteria of benign ovarian tumors in postmenopausal women and the limitations of abdominal ultrasound are the main causes of misdiagnosis