MRI findings of endometrioid adenofibroma of ovary and comparison with pathology
10.3969/j.issn.1002-1671.2025.02.017
- VernacularTitle:卵巢子宫内膜样腺纤维瘤的MRI表现及与病理对照分析
- Author:
Yanna WANG
1
;
Meiting YE
;
Luqing ZHOU
;
Xinyue CHEN
;
Wenbin JI
Author Information
1. 温州医科大学,浙江 温州 325808;台州市中心医院放射科,浙江 台州 318000
- Publication Type:Journal Article
- Keywords:
ovary;
endometrioid adenofibroma;
magnetic resonance imaging;
pathology
- From:
Journal of Practical Radiology
2025;41(2):254-256,296
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical and MRI imaging features of ovarian endometrioid adenofibroma and to analyze its pathological features in order to promote the diagnostic and differential diagnostic ability.Methods The clinical and MRI imaging features of 5 cases of ovarian endometrioid adenofibroma confirmed by pathology were analyzed retrospectively.Results Among the 5 patients,2 were diagnosed with postmenopausal vaginal bleeding,while the other 3 cases were incidental findings with no obvious clinical discomfort.One patient had elevated estrogen level,but the remaining patients showed no obvious abnormalities in laboratory examinations.All the lesions in 5 patients were cystic-solid masses,MRI showed mixed iso-and hypointensity on T1 WI,and slightly hyperintensity and hypointensity of solid components on T2WI.The solid components showed scattered cystic foci with smooth cyst walls and partial septa.The signal in the capsule was homogeneous.Diffusion weighted imaging(DWI)showed slightly hyperintensity and hypointensity.Contrast-enhanced scans showed gradual enhancement in the solid part of the massed with no enhancement in the cystic areas.Conclusion The clinical manifestations of ovarian endometrioid adenofibroma are non-specific,but MRI manifestations are specific to some extent.The final diagnosis depends on pathological diagnosis.
