發(fā)布時(shí)間：2018-02-05 03:55

  本文關(guān)鍵詞： 無性細(xì)胞瘤 單側(cè)輸卵管 混合回聲包塊 卵巢 低混雜信號(hào) 斑點(diǎn)狀 子宮體 下腹壓痛 邊緣清晰 腹肌緊張　出處：《臨床放射學(xué)雜志》2017年12期 　論文類型：期刊論文

【摘要】：正患者女,15歲。3天前無明顯誘因出現(xiàn)下腹痛,呈間斷性隱痛。入院10小時(shí)前自覺腹痛加劇,下腹呈持續(xù)性鈍痛,伴惡心、嘔吐及尿痛。無發(fā)熱、腹脹及腹瀉。月經(jīng)史:未來潮。�？茩z查:腹肌緊張,下腹壓痛及反跳痛陽性,盆腔可觸及一約10 cm×12 cm大小包塊。婦科彩超:盆腔混合回聲包塊,性質(zhì)待定。MRI表現(xiàn):盆腔內(nèi)可見一大小約7.5 cm×8.5cm腫塊,其邊緣清晰,并見一低信號(hào)包膜;病灶在T1WI呈低信號(hào),其內(nèi)見斑點(diǎn)狀較高信號(hào);T2WI呈高低混雜信號(hào),DWI呈粗線狀及斑點(diǎn)狀高低混合信號(hào)(圖1~4)。手術(shù)所見:經(jīng)陰道探查:宮頸及宮口可見,探針探查宮腔深約4
[Abstract]:There was no obvious inducement of lower abdominal pain, which was intermittent pain. Ten hours before admission, the abdominal pain was aggravated, the lower abdomen was persistent blunt pain, accompanied by nausea, vomiting and urinary pain. No fever was found. Abdominal distension and diarrhea. Menstrual history: future tide. Special examination: abdominal tension, lower abdominal tenderness and rebound pain positive. The pelvic cavity can reach a mass of about 10 cm 脳 12 cm. Gynecological ultrasound: pelvic mixed echo mass. Character to be determined. MRI findings: a mass of about 7.5 cm 脳 8.5 cm in size was seen in the pelvic cavity with a distinct margin and a hypointense capsule. The lesions showed low signal intensity on T1WI and high signal intensity in the lesions. T2WI showed high and low mixed signal. DWI showed thick linear and speckle mixed signal (fig. 1). Surgical findings: transvaginal exploration: cervix and uterine orifice visible, probe probe depth of uterine cavity about 4.
【作者單位】： 青海仁濟(jì)醫(yī)院放射科;
【分類號(hào)】：R445.2;R711.1;R737.31
【正文快照】： 呈高低混雜信號(hào)。DWI呈粗白線狀高胞漿淺或透明。瘤細(xì)胞團(tuán)巢之間有薄(+),OCT4(+),Sall4(+),Vim(+患者女,15歲。3天前無明顯誘因出現(xiàn)下腹痛,呈間斷性隱痛。入院10小時(shí)前自覺腹痛加劇,下腹呈持續(xù)性鈍痛,伴惡心、嘔吐及尿痛。無發(fā)熱、腹脹及腹瀉。月經(jīng)史:未來潮。�？茩z查:腹肌緊

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