난소 종괴의 초음파 진단 = Ultrasound of Ovarian Mass

다국어 초록 (Multilingual Abstract)

As a primary imaging modality for evaluation of an ovarian mass, ultrasound (US)can provide us with various diagnostic information. Using a pattern recognition approach through gray-scale transvaginal US, diagnosis of an ovarian mass can be made with high specificity and sensitivity and Doppler US may increase the confidence with which a correct diagnosis of benignity or malignancy is made. Although a hemorrhagic corpus luteal cyst, endometrioma, or mature teratoma can be readily characterized on the basis of typical sonographic findings, specific diagnosis of other ovarian masses is difficult based on US alone. In such cases, categorization as a unilocular, unilocular solid, multilocular, multilocular solid, or solid mass and assessment of the solid component in the mass is important for discrimination between benign and malignant masses.

국문 초록 (Abstract)

초음파 검사는 난소 종괴의 일차적인 검사로서 다양한 진단적 정보를 제공한다. 특히 회색조 경질 초음파를 통한 형태 인지적 평가는 악성 난소 종양의 진단에 있어서 높은 민감도와특이도를 보이며 도플러 검사를 추가함으로써 진단적 신뢰도를 증가시킨다. 본 종설은 회색조 초음파 소견을 바탕으로 난소 종괴를 단방성 낭종, 단방성 고형 낭종, 다방성 낭종, 다방성고형 낭종, 고형성 종괴로 범주화하여 각 범주에 포함된 다양한 난소 질환의 대표적인 초음파 소견을 제시함과 동시에 악성난소 종괴의 특징적인 초음파 소견을 소개하고자 한다.

참고문헌 (Reference)

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