表现
下腹部灼痛，延伸至下肢和下背部。

患者数据
年龄：40岁
性别：女

MRI
图片
Axial
T2

图片
Axial
T1

图片
Sagittal
T1

图片
Coronal
T1

图片
Axial T1
out-of-phase
双侧卵巢子宫内膜异位囊肿在 T1WI 上显示为高强度信号，在 T2WI 上显示为阴影形式的不均匀低信号强度，具有小隔膜。

病例讨论
卵巢子宫内膜异位症。

混合成分的卵巢病变，伴有痛经症状，不表现为肠系膜、肠道或远处器官扩展，对促性腺激素释放激素 (Gn-RH) 激动剂和拮抗剂治疗有积极反应。

参考文献
1.
Rousset P, Florin M, Bharwani N et al. Deep Pelvic Infiltrating
Endometriosis: MRI Consensus Lexicon and Compartment-Based Approach from
the ENDOVALIRM Group. Diagn Interv Imaging. 2023;104(3):95-112.
doi:10.1016/j.diii.2022.09.004 – Pubmed
2.
Kido A, Himoto Y, Moribata Y, Kurata Y, Nakamoto Y. MRI in the
Diagnosis of Endometriosis and Related Diseases. Korean J Radiol.
2022;23(4):426-45. doi:10.3348/kjr.2021.0405 – Pubmed
3.
El-Ali A, Tong A, Smereka P, Lala S. MRI for Endometriosis in
Adolescent Patients. Pediatr Radiol. 2024;:1-12.
doi:10.1007/s00247-024-06050-z – Pubmed
4.
Takeuchi M, Matsuzaki K, Uehara H, Nishitani H. Malignant
Transformation of Pelvic Endometriosis: MR Imaging Findings and
Pathologic Correlation. Radiographics. 2006;26(2):407-17.
doi:10.1148/rg.262055041 – Pubmed
5.
Rousset P, Florin M, Bharwani N et al. Deep Pelvic Infiltrating
Endometriosis: MRI Consensus Lexicon and Compartment-Based Approach from
the ENDOVALIRM Group. Diagn Interv Imaging. 2023;104(3):95-112.
doi:10.1016/j.diii.2022.09.004 – Pubmed
6. Niknejad M & Yang N. Endometriosis. Radiopaediaorg. 2009. doi:10.53347/rid-6699
7.
França P, Lontra A, Fernandes P. Endometriosis: A Disease with Few
Direct Treatment Options. Molecules. 2022;27(13):4034.
doi:10.3390/molecules27134034 – Pubmed

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