The Ultrasonic Features and Analysis of Misdiagnosis in 12 Patients with Female Non-Genital Origin Masses in Pelvis
WEI Wei
WANG Hong
WANG Jian-hua
GUO Qiu-yun
WEI Xiao-guang
LI Guo-jing
Abstract：Objective To explore the diagnostic value of ultrasound examination of female non-genital origin masses in pelvis. Methods The ultrasonographic features and other clinical data of female non-genital origin masses in 12 patients admitted to our hospital between July 2008 and July 2013 were retrospectively analyzed. Results Preoperative ultrasound ex-amination showed that there were 13 masses in 12 patients. Among these masses, 7 were mixed masses, 5 were solid masses, and 1 was cystic mass. Before operation, ultrasound examination showed ovarian tumors in 6 patients, subserosal uterine fi-broids in 4 patients, and pelvic tumors without defined sources in 2 patients. All patients underwent surgical exploration, and were confirmed by pathological examination. Pathological examination revealed that there were 6 patients with masses from di-gestive system (50. 0%), 4 patients with masses from retroperitoneal tumor (33. 3%), and 2 patients with masses from other tumors (16. 7%). And the final diagnosis was small intestine stromal tumors in 3 patients, retroperitoneal leiomyoma in 2 pa-tients, retroperitoneal schwannomas in 2 patients, and mucinous adenocarcinoma of the appendix, pelvic wall aggressive an-giomyxoma, sigmoid mesentery teratoma, non-Hodgkin's B giant-cell lymphoma and mesenteric cyst in one each. Conclusion Female non-genital origin masses in pelvis are easily misdiagnosed as ovarian tumor and subserosal uterine fibroids by ultra-sound examination before operation, ultrasound doctors should pay attention to combining clinical features and avoiding the mindset to reduce misdiagnosis.
Keywords：UltrasonographyDopplercolorPelvic neoplasmsnon-gynecologicalDiagnostic errorsOvarian neo-plasmsUterine neoplasms
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 46-50 )