akusherstvoObstetrics, Gynecology and ReproductionАкушерство, Гинекология и Репродукция2313-73472500-3194IRBIS LLC10.17749/2313-7347/ob.gyn.rep.2020.190akusherstvo-880Research ArticleCLINICAL CASEКЛИНИЧЕСКИЙ СЛУЧАЙSerous papillary cystadenofibroma combined with extended external genital endometriosisСочетание серозной папиллярной цистаденофибромы яичника с распространенным наружным генитальным эндометриозомhttps://orcid.org/0000-0003-4043-907XСыркашевЕ. М.SyrkashevE. M.

Сыркашев Егор Михайлович – научный сотрудник отделения лучевой диагностики

Scopus Author ID: 57204631271

117997, Москва, ул. академика Опарина, д. 4

Egor M. Syrkashev – Researcher, Department of Radiology

Scopus Author ID: 57204631271

4 Academika Oparina Str., Moscow 117997

https://orcid.org/0000-0003-4768-115XСолоповаА. Е.SolopovaA. E.

Солопова Алина Евгеньевна – д.м.н., доцент, ведущий научный сотрудник отделения лучевой диагностики

Scopus Author ID: 24460923200. Researcher ID: P-8659-2015

117997, Москва, ул. академика Опарина, д. 4

Alina E. Solopova – MD, Dr Sci Med, Associate Professor, Leading Researcher, Department of Radiology

Scopus Author ID: 24460923200. Researcher ID: P-8659-2015

4 Academika Oparina Str., Moscow 117997

dr.solopova@mail.ruhttps://orcid.org/0000-0001-8739-5209АсатуроваА. В.AsaturovaA. V.

Асатурова Александра Вячеславовна – к.м.н., старший научный сотрудник патологоанатомического отделения

Scopus Author ID: 57190118907

117997, Москва, ул. академика Опарина, д. 4

Alexandra V. Asaturova – MD, PhD, Senior Researcher, Department of Pathology

Scopus Author ID: 57190118907

4 Academika Oparina Str., Moscow 117997

ФГБУ «Национальный медицинский исследовательский центр акушерства, гинекологии и перинатологии имени академика В.И. Кулакова» Министерства здравоохранения Российской ФедерацииРоссияKulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Health Ministry of Russian FederationRussian Federation202009012021146694703Copyright © Syrkashev E.M., Solopova A.E., Asaturova A.V., 20212021Сыркашев Е.М., Солопова А.Е., Асатурова А.В.Syrkashev E.M., Solopova A.E., Asaturova A.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.gynecology.su/jour/article/view/880

Ovarian cystadenofibroma (CAF) is a rare ovarian tumor originating both from epithelial and stromal components being, however, classified as epithelial tumors. CAF prevalence among all ovarian tumors does not exceed more than 1.7 %. CAFs are commonly asymptomatic, in extremely rare cases of large tumor or ovarian torsion pain sensation may be noted. External genital endometriosis (EGE) is a chronic gynecological disorder that occurs in women of reproductive age and cause infertility and pelvic pain. EGE prevalence comprises around 10 % in women of reproductive age, 20–50 % in women with infertility, and almost 90 % in women with chronic pelvic pain. Magnetic resonance imaging (MRI) is method of choice in diagnostics of such pathology due to the high natural soft tissue contrast and functional techniques such as diffusion-weighted images (DWI) and dynamic contrast enhancement (DCE). Surgery planning, necessity for systemic therapy or follow-up directly depend on imaging and diagnostic laparoscopy results. Here we present a clinical case of rarely combined serous papillary CAF with extended EGE accompanied with consequences of intra-tumoral hemorrhage. Case study demonstrates main visualization characteristics that provide correct differential diagnosis and exclude malignancy transformation.

Цистаденофибромы яичников (ЦАФ) представляют собой редкие опухоли яичников, которые развиваются как из эпителиальных, так и из стромальных компонентов, но классифицируются как эпителиальные опухоли. Доля ЦАФ среди всех опухолей яичников составляет не более 1,7 %. Как правило, ЦАФ бессимптомны, в крайне редких случаях (при больших размерах опухоли/формировании перекрута яичника) могут возникать болевые ощущения. Наружный генитальный эндометриоз (НГЭ) – хроническое гинекологическое заболевание, которое встречается у женщин репродуктивного возраста и может вызывать бесплодие и тазовые боли. Распространенность составляет приблизительно 10 % среди женщин репродуктивного возраста, 20–50 % у женщин с бесплодием и почти 90 % среди женщин с хронической тазовой болью. Магнитно-резонансная томография (МРТ) является методом выбора в диагностике данного вида патологий ввиду высокого естественного контраста мягких тканей и функциональных методик, таких как диффузионно-взвешенные изображения (ДВИ) и динамическое контрастное усиление (ДКУ). Планирование объема оперативного вмешательства, необходимость проведения системной терапии или динамическое наблюдение напрямую зависят от результатов визуальной диагностики и данных диагностической лапароскопии. В работе представлено клиническое наблюдение редкого сочетания – распространенного НГЭ и серозной ЦАФ с последствиями кровоизлияния в структуру; приведены основные визуализационные характеристики, позволившие провести корректный дифференциальный диагноз, исключить малигнизацию процесса.

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The authors declare that there are no conflicts of interest present.