發(fā)布時間：2018-08-16 11:54

【摘要】：目的探討卵巢少見原發(fā)性腫瘤的CT表現(xiàn)及特征,以提高對該類疾病的診斷及鑒別診斷能力。方法回顧性分析經(jīng)手術(shù)病理證實的19例卵巢少見原發(fā)性腫瘤的CT表現(xiàn)并復(fù)習(xí)相關(guān)文獻(xiàn)。結(jié)果卵巢子宮內(nèi)膜樣癌4例,為單側(cè)附件區(qū)囊實性腫塊,實性部分及分隔中等度強(qiáng)化。卵泡膜細(xì)胞瘤-纖維瘤組腫瘤6例,為密度不均實性或囊實性表現(xiàn),實性部分輕度強(qiáng)化或強(qiáng)化不明顯;硬化性間質(zhì)瘤2例,為囊實性腫塊,呈類似肝臟血管瘤樣的強(qiáng)化;淋巴瘤1例,盆腔巨大囊實性腫塊,邊界尚清,實性部分中度強(qiáng)化,腹腔見積液及腫大淋巴結(jié);顆粒細(xì)胞瘤3例,典型者呈多房蜂窩狀囊性表現(xiàn),邊界清晰,實性部分及分隔呈輕中度強(qiáng)化;無性細(xì)胞瘤1例,呈分葉狀,為實性腫塊,內(nèi)見低密度纖維分隔,實性部分中度強(qiáng)化;Brener瘤2例,呈實性腫塊,均見團(tuán)片狀鈣化灶。結(jié)論卵巢少見原發(fā)性腫瘤的CT表現(xiàn)具有一定的特征性,且CT也是目前較為常用、方便的術(shù)前檢查手段,能充分顯示病變與周圍組織的關(guān)系及血供特點,但最后確診仍須結(jié)合臨床及完整的病理資料分析。
[Abstract]:Objective to investigate the CT features of rare primary ovarian tumors in order to improve their diagnostic and differential diagnosis. Methods CT findings of 19 rare primary ovarian tumors confirmed by surgery and pathology were analyzed retrospectively. Results there were 4 cases of ovarian endometrioid carcinoma, which were unilateral adnexal cystic solid mass with moderate enhancement of solid part and septum. In the follicular cell tumor-fibroma group, 6 cases showed heterogeneous density or cystic solid, with slight enhancement or no enhancement, sclerosing stromal tumor (sclerosing stromal tumor 2 cases, cystic solid mass, similar to hepatic hemangiomatous enhancement), sclerosing stromal tumor (sclerosing stromal tumor) in 6 cases, which was similar to hepatic hemangiomatous enhancement. One case was lymphoma with large cystic and solid pelvic mass, the boundary was still clear, the solid part was moderately enhanced, effusion and enlarged lymph nodes were seen in abdominal cavity, and 3 cases of granulosa cell tumor showed multilocular honeycomb cystic appearance with clear boundary. One case of asexual cell tumor presented lobular mass with low density fibrous septum and 2 cases with solid partial moderate enhancement of Brener tumor. Conclusion CT findings of rare primary ovarian tumors have some characteristics, and CT is a relatively common and convenient means of preoperative examination, which can fully show the relationship between lesions and surrounding tissues and the characteristics of blood supply. However, the final diagnosis must be combined with clinical and complete pathological data analysis.
【作者單位】： 南京中醫(yī)藥大學(xué)第一臨床醫(yī)學(xué)院;南京中醫(yī)藥大學(xué)附屬醫(yī)院放射科;
【分類號】：R737.31;R730.44

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