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Возможности магнитно-резонансной томографии в дифференциальной диагностике опухолей и опухолевидных образований яичников у беременных
Возможности магнитно-резонансной томографии в дифференциальной диагностике опухолей и опухолевидных образований яичников у беременных
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Аннотация
В статье отражены особенности дифференциальной диагностики опухолей и опухолевидных образований яичников у беременных с использованием магнитно-резонансной томографии (МРТ). Определены МР-характеристики наиболее часто встречающихся во время беременности яичниковых образований. Доказана высокая эффективность МРТ в определении характера опухолей/опухолевидных образований яичников благодаря наличию протоколов с подавлением сигнала от жировой ткани и гидрографии.
Ключевые слова: беременность, опухоли и опухолевидные образования яичников, магнитно-резонансная томография .
Key words: pregnancy, adnexal masses, magnetic resonance imaging.
Ключевые слова: беременность, опухоли и опухолевидные образования яичников, магнитно-резонансная томография .
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Key words: pregnancy, adnexal masses, magnetic resonance imaging.
Полный текст
Список литературы
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4. Демидов В.Н., Гус А.И., Адамян Л.В. Кисты придатков матки и доброкачественные опухоли яичников. Эхография органов малого таза у женщин. Практическое пособие. Вып. 2. М., 1999.
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8. Aggarwal P et al. Ovarian tumors in pregnancy: a literature review. Eur J Obstet Gynecol Reprod Biol 2011; 155: 119–24.
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10. Aytekin O et al. Magnetic Resonance Imaging of Cystic Adnexal Lesions During Pregnancy. Curr Probl Diagn Radiol 2008; 37: 139–44.
11. Imaoka I, Wada A, Wada K et al. Developing an MR imaging strategy for diagnosis of ovarian masses. Radiology 2006; 26: 1431–49.
12. Telischak N, Yeh B, Joe B et al. MRI of adnexal masses in pregnancy. Am J Roentgenol 2008; 191: 364–70.
13. Yacobozzi M et al. Adnexal masses in pregnancy. Seminars in ultrasound, CT and MRI 2012; 33: 55–64.
14. Kier R, McCarthy SM, Scoutt LM et al. Pelvic masses in pregnancy: MR imaging. Radiology 1990; 176: 709–13.
15. Myers E, Bastian L, Havrilesky L et al. Management of Adnexal Mass. Evidence Report/Technology Assessment No.130 (Prepared by the Duke Evidence-based Practice Center under Contract No. 290-02-0025). AHRQ Publication No. 06-E004, Agency for Healthcare Research and Quality, Rockville, MD February 2006.
16. Leyendecker JR, Gorengaut V, Brown JJ. MR imaging of maternal diseases of the abdomen and pelvis during pregnancy and the immediate postpartum period. Radiographics 2004; 24: 1301–16.
17. Giuntoli RL, Vang RS, Bristow RE. Evaluation and management of adnexal masses during pregnancy. Clin Obstet Gynecol 2006; 49: 492–505.
18. Hoover K, Jenkins T. Evaluation and management of adnexal mass in pregnancy. Am J Obstet Gynecol 2011; 205 (2): 97–102.
19. Leiserowitz GS. Managing ovarian masses during pregnancy. Obstet Gynecol Surv 2006; 61 (7): 463–70.
20. Usui R, Minakami H, Kosuge S et al. A retrospective survey of clinical, pathologic and prognostic features of adnexal masses operated on during pregnancy. J Obstet Gynaecol Res 2000; 26: 89–93.
2. Магнитская Н.А. Диагностика и лечение образований яичников у беременных. Автореф. дис. … канд. мед. наук. М., 2012.
3. Савельева Г.М., Бреусенко В.Г. Опухоли и опухолевидные образования яичников и их клинические проявления. Рос. вестн. акушера-гинеколога. 2005; 5: 63–70.
4. Демидов В.Н., Гус А.И., Адамян Л.В. Кисты придатков матки и доброкачественные опухоли яичников. Эхография органов малого таза у женщин. Практическое пособие. Вып. 2. М., 1999.
5. Brown D et al. Sonographic differentiation of benign versus malignant adnexal masses. UpToDate. Literature review, 2012. http://www.uptodate.com/contents/sonographic-differentiation-of-benign-versus-malignant-adnexal-mass...
6. Chiang G, Levine D. Imaging of adnexal masses in pregnancy. J Ultrasound Med 2004; 23: 805–19.
7. Zanetta G et al. A prospective study of the role of ultrasound in the management of adnexal masses in pregnancy. Br J Obstet Gynaecol 2003; 110(6): 578–83.
8. Aggarwal P et al. Ovarian tumors in pregnancy: a literature review. Eur J Obstet Gynecol Reprod Biol 2011; 155: 119–24.
9. Kobayashi H et al. Ovarian Endometrioma – risks factors of ovarian cancer development. Eur J Obstet Gynecol Reprod Biol 2008; 138: 187–93.
10. Aytekin O et al. Magnetic Resonance Imaging of Cystic Adnexal Lesions During Pregnancy. Curr Probl Diagn Radiol 2008; 37: 139–44.
11. Imaoka I, Wada A, Wada K et al. Developing an MR imaging strategy for diagnosis of ovarian masses. Radiology 2006; 26: 1431–49.
12. Telischak N, Yeh B, Joe B et al. MRI of adnexal masses in pregnancy. Am J Roentgenol 2008; 191: 364–70.
13. Yacobozzi M et al. Adnexal masses in pregnancy. Seminars in ultrasound, CT and MRI 2012; 33: 55–64.
14. Kier R, McCarthy SM, Scoutt LM et al. Pelvic masses in pregnancy: MR imaging. Radiology 1990; 176: 709–13.
15. Myers E, Bastian L, Havrilesky L et al. Management of Adnexal Mass. Evidence Report/Technology Assessment No.130 (Prepared by the Duke Evidence-based Practice Center under Contract No. 290-02-0025). AHRQ Publication No. 06-E004, Agency for Healthcare Research and Quality, Rockville, MD February 2006.
16. Leyendecker JR, Gorengaut V, Brown JJ. MR imaging of maternal diseases of the abdomen and pelvis during pregnancy and the immediate postpartum period. Radiographics 2004; 24: 1301–16.
17. Giuntoli RL, Vang RS, Bristow RE. Evaluation and management of adnexal masses during pregnancy. Clin Obstet Gynecol 2006; 49: 492–505.
18. Hoover K, Jenkins T. Evaluation and management of adnexal mass in pregnancy. Am J Obstet Gynecol 2011; 205 (2): 97–102.
19. Leiserowitz GS. Managing ovarian masses during pregnancy. Obstet Gynecol Surv 2006; 61 (7): 463–70.
20. Usui R, Minakami H, Kosuge S et al. A retrospective survey of clinical, pathologic and prognostic features of adnexal masses operated on during pregnancy. J Obstet Gynaecol Res 2000; 26: 89–93.
2. Магнитская Н.А. Диагностика и лечение образований яичников у беременных. Автореф. дис. … канд. мед. наук. М., 2012.
3. Савельева Г.М., Бреусенко В.Г. Опухоли и опухолевидные образования яичников и их клинические проявления. Рос. вестн. акушера-гинеколога. 2005; 5: 63–70.
4. Демидов В.Н., Гус А.И., Адамян Л.В. Кисты придатков матки и доброкачественные опухоли яичников. Эхография органов малого таза у женщин. Практическое пособие. Вып. 2. М., 1999.
5. Brown D et al. Sonographic differentiation of benign versus malignant adnexal masses. UpToDate. Literature review, 2012. http://www.uptodate.com/contents/sonographic-differentiation-of-benign-versus-malignant-adnexal-mass...
6. Chiang G, Levine D. Imaging of adnexal masses in pregnancy. J Ultrasound Med 2004; 23: 805–19.
7. Zanetta G et al. A prospective study of the role of ultrasound in the management of adnexal masses in pregnancy. Br J Obstet Gynaecol 2003; 110(6): 578–83.
8. Aggarwal P et al. Ovarian tumors in pregnancy: a literature review. Eur J Obstet Gynecol Reprod Biol 2011; 155: 119–24.
9. Kobayashi H et al. Ovarian Endometrioma – risks factors of ovarian cancer development. Eur J Obstet Gynecol Reprod Biol 2008; 138: 187–93.
10. Aytekin O et al. Magnetic Resonance Imaging of Cystic Adnexal Lesions During Pregnancy. Curr Probl Diagn Radiol 2008; 37: 139–44.
11. Imaoka I, Wada A, Wada K et al. Developing an MR imaging strategy for diagnosis of ovarian masses. Radiology 2006; 26: 1431–49.
12. Telischak N, Yeh B, Joe B et al. MRI of adnexal masses in pregnancy. Am J Roentgenol 2008; 191: 364–70.
13. Yacobozzi M et al. Adnexal masses in pregnancy. Seminars in ultrasound, CT and MRI 2012; 33: 55–64.
14. Kier R, McCarthy SM, Scoutt LM et al. Pelvic masses in pregnancy: MR imaging. Radiology 1990; 176: 709–13.
15. Myers E, Bastian L, Havrilesky L et al. Management of Adnexal Mass. Evidence Report/Technology Assessment No.130 (Prepared by the Duke Evidence-based Practice Center under Contract No. 290-02-0025). AHRQ Publication No. 06-E004, Agency for Healthcare Research and Quality, Rockville, MD February 2006.
16. Leyendecker JR, Gorengaut V, Brown JJ. MR imaging of maternal diseases of the abdomen and pelvis during pregnancy and the immediate postpartum period. Radiographics 2004; 24: 1301–16.
17. Giuntoli RL, Vang RS, Bristow RE. Evaluation and management of adnexal masses during pregnancy. Clin Obstet Gynecol 2006; 49: 492–505.
18. Hoover K, Jenkins T. Evaluation and management of adnexal mass in pregnancy. Am J Obstet Gynecol 2011; 205 (2): 97–102.
19. Leiserowitz GS. Managing ovarian masses during pregnancy. Obstet Gynecol Surv 2006; 61 (7): 463–70.
20. Usui R, Minakami H, Kosuge S et al. A retrospective survey of clinical, pathologic and prognostic features of adnexal masses operated on during pregnancy. J Obstet Gynaecol Res 2000; 26: 89–93.
________________________________________________
2. Магнитская Н.А. Диагностика и лечение образований яичников у беременных. Автореф. дис. … канд. мед. наук. М., 2012.
3. Савельева Г.М., Бреусенко В.Г. Опухоли и опухолевидные образования яичников и их клинические проявления. Рос. вестн. акушера-гинеколога. 2005; 5: 63–70.
4. Демидов В.Н., Гус А.И., Адамян Л.В. Кисты придатков матки и доброкачественные опухоли яичников. Эхография органов малого таза у женщин. Практическое пособие. Вып. 2. М., 1999.
5. Brown D et al. Sonographic differentiation of benign versus malignant adnexal masses. UpToDate. Literature review, 2012. http://www.uptodate.com/contents/sonographic-differentiation-of-benign-versus-malignant-adnexal-mass...
6. Chiang G, Levine D. Imaging of adnexal masses in pregnancy. J Ultrasound Med 2004; 23: 805–19.
7. Zanetta G et al. A prospective study of the role of ultrasound in the management of adnexal masses in pregnancy. Br J Obstet Gynaecol 2003; 110(6): 578–83.
8. Aggarwal P et al. Ovarian tumors in pregnancy: a literature review. Eur J Obstet Gynecol Reprod Biol 2011; 155: 119–24.
9. Kobayashi H et al. Ovarian Endometrioma – risks factors of ovarian cancer development. Eur J Obstet Gynecol Reprod Biol 2008; 138: 187–93.
10. Aytekin O et al. Magnetic Resonance Imaging of Cystic Adnexal Lesions During Pregnancy. Curr Probl Diagn Radiol 2008; 37: 139–44.
11. Imaoka I, Wada A, Wada K et al. Developing an MR imaging strategy for diagnosis of ovarian masses. Radiology 2006; 26: 1431–49.
12. Telischak N, Yeh B, Joe B et al. MRI of adnexal masses in pregnancy. Am J Roentgenol 2008; 191: 364–70.
13. Yacobozzi M et al. Adnexal masses in pregnancy. Seminars in ultrasound, CT and MRI 2012; 33: 55–64.
14. Kier R, McCarthy SM, Scoutt LM et al. Pelvic masses in pregnancy: MR imaging. Radiology 1990; 176: 709–13.
15. Myers E, Bastian L, Havrilesky L et al. Management of Adnexal Mass. Evidence Report/Technology Assessment No.130 (Prepared by the Duke Evidence-based Practice Center under Contract No. 290-02-0025). AHRQ Publication No. 06-E004, Agency for Healthcare Research and Quality, Rockville, MD February 2006.
16. Leyendecker JR, Gorengaut V, Brown JJ. MR imaging of maternal diseases of the abdomen and pelvis during pregnancy and the immediate postpartum period. Radiographics 2004; 24: 1301–16.
17. Giuntoli RL, Vang RS, Bristow RE. Evaluation and management of adnexal masses during pregnancy. Clin Obstet Gynecol 2006; 49: 492–505.
18. Hoover K, Jenkins T. Evaluation and management of adnexal mass in pregnancy. Am J Obstet Gynecol 2011; 205 (2): 97–102.
19. Leiserowitz GS. Managing ovarian masses during pregnancy. Obstet Gynecol Surv 2006; 61 (7): 463–70.
20. Usui R, Minakami H, Kosuge S et al. A retrospective survey of clinical, pathologic and prognostic features of adnexal masses operated on during pregnancy. J Obstet Gynaecol Res 2000; 26: 89–93.
Авторы
С.А.Мартынов, Л.В.Адамян, Е.А.Кулабухова, П.В.Учеваткина, А.Ю.Данилов
ФГБУ Научный центр акушерства, гинекологии и перинатологии им. акад. В.И.Кулакова Минздрава России, Москва
ФГБУ Научный центр акушерства, гинекологии и перинатологии им. акад. В.И.Кулакова Минздрава России, Москва
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