These words on the B ultrasound report may be “cancer signals”!

pg>p=”600″> For us women, the health of two rooms and one living room (uterus + bilateral ovaries) is really important. Economical and convenient gynecological B supernatural is essential for every gynecological physical examination and examination. But when people get the report, they are often very suspicious.

“Papillary”, “Irregular cyst wall”, “Colored blood flow cord” strong>, what do these ultrasound descriptions that look “hard” mean? Will it be bad?

The ovary is the part with the most types of primary tumors in the organs of the female body. Disease Signals”.

1, no echo

Represents clear liquids such as “water” in ultrasound images. Physiological cysts (such as follicular retention cysts) and benign tumors (such as simple cysts) are both anechoic. The difference between the two is that the former is related to the menstrual cycle. Generally, the 5th to 7th day of menstruation (from the first day of menstruation) Start to count) most of the ultrasound review can disappear; and the latter does not change with the menstrual cycle, has always existed.

Summary: An echo is mostly normal or benign tumor.

2, weak echo

Represents thick fluid in ultrasound images, such as “old hematoma”, etc. Common endometrioid cysts (also known as “chocolate cysts”) are weakly echogenic, If you see the fluid floating in fine light spots in the cyst, it is the old hemorrhage.

Summary:Weak echoes are mostly benign diseases.

3, low or medium-low echo

Represents a solid mass or a mixed cystic-solid mass on ultrasound images, which can appear in benign tumors as well as malignant tumors.

①Among benign tumors, ovarian fibroma is more common, and its back is often accompanied by acoustic shadows. In addition, serous cystadenoma and mucinous cystic tumor are also more common. Ultrasound images showed multiple compartments in the cavity, and a small number of scattered papillary protrusions with/without or thin-striped color blood flow signals. However, when the separation is thicker and the blood flow is abundant, it is difficult to differentiate from malignant tumors.

②Among the functional cysts, corpus luteum cysts are the most common and are often found during ovulation or early pregnancy, and annular or semi-circular colored blood flow can be seen around the mass Most absorbed and disappeared on the 5th to 7th day of menstruation or the second trimester. However, the ultrasound appearance of corpus luteum cysts is varied and can also be anechoic, hypoechoic, or moderate to high echo.

③Malignant tumor, its typical ultrasound appearance is mixed mass (solid part ≥1/2) with medium and low echoes , cystic and solid hybrids with indistinguishable boundary, internal echo disorder and unevenness, cystic wall thickness and irregularity, papillary or cauliflower-like solid protrusions in cystic cavity, cystic wall, septum and solid protrusions Abundant color blood flow signals can be seen inside. In addition, pelvic and abdominal fluid accumulation is also a common symptom of malignant tumors.

Summary:Low-echo or medium-low echo, good and bad, depending on the specific description.

4, medium to high echo or strong echo

Represents a solid mass on an ultrasound image. Among benign tumors, it is common in mature teratomas. Ultrasonography shows that the hyperechoic mass in the capsule represents hair and sebum, while the hyperechoic intramural nodules represent teeth or bone tissue, and there is basically no color blood flow signal inside. The malignant tumors are mostly solid, and they also show similar medium-high echoes or strong echoes, but the internal color blood flow is rich.

Summary:Medium-high echo or strong echo, both good and bad may be present. See the specific description.

5. papillae

In ultrasound images, most of them are moderate echoes. Benign tumors have no papillary protrusions, or a few (<3) scattered small protrusions are seen; while malignant tumors often have more than 4 irregular papillary and cauliflower-like protrusions distributed in clusters, and have abundant blood supply.

Summary: Can be “good” or “bad”, more than 4 irregular papillary and cauliflower-like protrusions,More common in ovarian cancer.

6. Color blood flow signal

Benign tumors have no color blood flow signal or a small amount of blood flow signal in the capsule and septum; malignant tumors often see rich color in the capsule, septum and solid parts blood flow signal.

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

Are you still confused when you see this? Then let the editor sort it out for you:

Picture the key points!

Pure cystic anechoic masses are mostly physiologic, functional cysts and benign tumors. Solid and mixed masses can be both benign and malignant. When inside the tumorthe echoes are disordered and uneven, with more irregular papillary or cauliflower-like protrusions, and more coarse separations , rich in color blood flow inside, which is a typical ultrasound manifestation of malignant ovarian tumors. However, some benign tumors have similar manifestations, and a comprehensive analysis of clinical symptoms and other imaging and laboratory indicators is required.

There are many types of ovarian tumors, often with different images of the same disease and different diseases in the same image. It is difficult to diagnose the specific pathological types of ovarian tumors only by ultrasound. . And less than half of ovarian tumors have typical benign or malignant sonographic features, and the judgment value is still limited.

The purpose of ultrasonography is to firstly detect the tumor. According to the size, shape, structure and color flow, it can indicate the benign tendency or malignant tendency of the lesion. Remember that it is only a tendency. cancer signal≠cancer, is mainly to provide the basis for further clinical diagnosis and treatment. So when you get a “suspicious” report, don’t be too anxious, it should be based on the judgment of the clinician.


1. National Health Commission “Thirteenth Five-Year Plan” Textbook, Ultrasound Diagnostics in Obstetrics and Gynecology, People’s Health Publishing House, 2019

2. Ultrasound Branch of Chinese Medical Doctor Association, China Obstetric Ultrasound Guidelines, People’s Health Publishing House, 2019

I am Fu Hong, a gynecologist, and I will share with you more every day Obstetrics Stories and Disease Knowledge! To learn practical health knowledge, you can follow my video number

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