The 6 "cancer signals" common on the B -ultrasound report, please see if you have any

*For medical professionals for reading reference

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For our women, the health of the "two bedrooms and one living room" (uterine+bilateral ovarian) is really important. Each gynecological examination and examination, economic and convenient gynecological B ultrasound is naturally essential. But when everyone gets a report, it is often very doubtful.

"Nipple -like protrusions", "irregular cyst wall", "colorful blood flow strip", what do these ultrasound descriptions that look at "Harbin firmly" mean? Will it be bad?

Ovarian is the part with the most type of tumor in the feminine organs. Let's take a look at the various "disease signals" about the ovaries today.

1. No echo

Represents clear liquids in ultrasound images, such as "water". Physiological cysts (such as follicular cysts) and benign tumors (such as simple cysts) are manifested as no echo. The difference between the two is related to the former and the menstrual cycle. At first) Most of the ultrasound review can disappear; while the latter does not change with the menstrual cycle and has always existed.

Summary: Non -echo is that there are no problems or benign tumors.

2. Weak echo

Represents thick liquids in ultrasound images, such as "old blood accumulation", etc., common ovarian endometrial -like cysts (also known as "chocolate cysts") are manifested as weak echoes. Old blood accumulation.

Summary: The weak echo is also mostly benign diseases.

3. Low echo or medium low echo

In the ultrasonic image, it represents a solid lump or a savage mixed mass. Such a manifestation can appear in a benign tumor or a malignant tumor.

① In the benign tumor, ovarian fibroma is more common, and it is often accompanied by sound shadows. In addition, the slurry cyst tumor and mucus cystic tumor are more common. Ultrasonic images can see multiple separators in the cavity, and a small number of nipples scattered in distributed nipples, accompanied by/disappointed or fine -shaped color blood flow signals. However, when the separation is thick and the blood flow is rich, it is difficult to identify with malignant tumors.

② In functional cysts, the luteal cysts are the most common. They often find during ovulation or early pregnancy examinations, and the circular or semi -circular color blood flow signals can be seen around the lumps. disappear. However, the ultrasonic performance of the luteum cysts can also be diverse, and it can also be no echo, low echo or medium high echo.

③ The typical ultrasound of malignant tumors shows the mixed place of low echo (real part ≥1/2). There are nipples or vegetable samples in the capsule cavity, and rich color blood flow signals can be found in the cyst wall, separation and solid protrusion. In addition, the internal effusion of the pelvic cavity is also a common signs of malignant tumors.

Summary: Low echo or medium low echo, good and evil may be available, depending on the specific description.

4. High echo or strong echo

Represents solid lumps in ultrasound images. In a benign tumor, mature malformed tumors are common. Ultrasound performance shows that high echo in the sac represents hair and sebum, while strong echoing walls protrude, representing teeth or bone tissues, and basically no color blood flow signals inside. Most of the malignant tumors are mostly solid, and they also present similar medium and high echoes or strong echoes, but the internal color blood flow is rich.

Summary: Mid -high echo or strong echo, good and evil may have, depending on the specific description.

5. Nipple protrusions

Most of the medium echoes in ultrasound images. Nakaurous tumors have no nipple -like protrusions, or small (3) small protrusions scattered; while malignant tumors are more common in irregular nipples and cauliflower -like protrusions with more than 4 or more clusters, and their blood is abundant.

Summary: "good" can be "evil", more than 4 irregular nipples and cauliflower -like protrusions, which are more common in ovarian malignant tumors.

6. Color blood flow signal

No benign tumors have no color blood flow signal or see a small amount of blood flow signals on the envelope and fine separation; malignant tumors often see rich color blood flow signals inside the envelope, separation and solid part.

Summary: Rich blood flow is more common in ovarian malignant tumors.

Seeing this, is it still puzzled? Then let Xiaobian come to you:

Point!

Most of the pure cysts without echo are physiological, functional cysts and benign tumors. The substantial and mixed mass can be a common signs of benign and malignant.

When the internal echo of the tumor is uneven, there are more irregular nipples or cauliflower -like protrusions, more thick and large separations, and the internal rich colored blood flow is a typical ultrasonic manifestation of malignant ovarian tumors. However, some benign tumors also have similar manifestations, and they also need to combine comprehensive analysis of clinical symptoms and other images and laboratory indicators.

There are many types of ovarian tumors, often with different diagrams of the same disease, and different diseases of the same diagram. It is difficult to diagnose the specific pathological types of ovarian tumors based on ultrasound. And less than half of ovarian tumors have typical benign or malignant acoustic image characteristics, and the judgment value is still limited.

The purpose of ultrasound examination is to detect tumors first. According to the manifestations of size, form, structure, and color blood flow, it is prompted to indicate the healthy tendency or malignant tendency of the lesion. Remember that it is just a tendency. Cancer signal ≠ suffer from cancer. Provide evidence. Therefore, when you get a "suspicious" report, don't be too anxious, it is subject to the judgment of clinicians.

references:

[1] The "13th Five -Year Plan" of the National Health and Health Commission, ultrasound diagnosis of obstetrics and gynecology, People's Health Publishing House, 2019.

[2] Chinese Physician Association Ultrasonic Physician Branch, Chinese Products Ultrasonic Examination Guide, People's Health Publishing House, 2019. This article was launched: Fudan University Affiliated Obstetrics and Gynecology Hospital

Editor in charge: Sweet

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