放射治疗方法在原发性和复发性恶性卵巢甲状腺肿诊断中的应用：临床病例

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本文介绍了一个罕见的原发性和复发性恶性卵巢甲状腺肿的临床诊断观察。

右侧卵巢的恶性甲状腺肿是在左侧卵巢的原发性良性甲状腺肿手术治疗2年后发现的。6 个月后，患者出现了只有放射性同位素技术数据才能观察到的疾病复发。在抗肿瘤治疗的第四年，超声检查发现了复发的腹膜病灶。根据超声检查，在全体盆腔腹膜上可以看到多个等渗及低回声结构的实体肿瘤病灶，存在低到中等速度的血流病灶，即使是小病灶：血流速度（peak systolic velocity，PS）在2到9cm/s之间，最大血管阻力指数（resistivity index，RI max）为0.53。患者曾接受放射性碘治疗131I，活性为6.0GBq，治疗了4年。在治疗的背景下，患者的情况是令人满意的。

作者简介

Nikolai V. Nudnov

Russian Scientific Center of Roentgenoradiology

Email: nvnudnov@rncrr.ru
ORCID iD: 0000-0001-5994-0468
SPIN 代码: 3018-2527

MD, Dr. Sci. (Med), Professor

俄罗斯联邦, Moscow

Svetlana V. Ivashina

Russian Scientific Center of Roentgenoradiology

Email: s.ivashina@bk.ru
ORCID iD: 0000-0002-9287-2636
SPIN 代码: 7829-2899

MD, Cand. Sci. (Med), Senior Research Associate

俄罗斯联邦, Moscow

Svetlana P. Aksenova

Russian Scientific Center of Roentgenoradiology

编辑信件的主要联系方式.
Email: fabella@mail.ru
ORCID iD: 0000-0003-2552-5754
SPIN 代码: 4858-4627

MD, Cand. Sci. (Med), Research Associate

俄罗斯联邦, Moscow

参考

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补充文件

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1. JATS XML
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2. 图1。右侧卵巢的低分化恶性甲状腺肿的三维血管造影（箭头）。

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3. 图2。功率多普勒超声图像。恶性卵巢甲状腺肿。子宫前的盆腔腹膜恶性上皮肿瘤（箭头）。图像上的肿瘤结节厚度为6 mm。

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4. 图3。子宫后间隙沿腹膜的恶性甲状腺肿病灶的三维血管造影（箭头）。

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5. 图4。右侧卵巢恶性甲状腺肿患者R的盆腔内脏器磁共振成像：a——轴向平面的T٢-FS-WI；b——轴向平面的T١-WI；c——DWI（b=١٠٠٠）；d——ADC图；e——轴向平面的T١-FS-WI+对比剂；f——矢状面的T١-FS-WI+对比剂。实箭头表示右侧卵巢恶性甲状腺肿中的胶质结节；虚线箭头表示沿盆腔腹膜的病灶，其顺磁体积聚是过高的，扩散受限，与主肿瘤的固体成分相似。

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6. 图5。功率多普勒超声图像。恶性卵巢甲状腺肿的复发性病灶（箭头）。

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7. 图6。恶性卵巢甲状腺肿复发性病灶的超声波断层扫描。

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8. 图7。在腹水的背景下，沿盆腔腹膜的恶性甲状腺肿复发性病灶的三维血管造影。

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9. 图8。一个IIIC期浆液性卵巢癌患者的子宫后间隙沿腹膜的肿瘤病灶的功率多普勒超声图像。

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