文小检,刘筠,华锐,许亮.子宫及其附件区巨大实性肿块的影像学分析[J].中国医学影像技术,2012,28(4):747~750
子宫及其附件区巨大实性肿块的影像学分析
Imaging analysis of giant solid masses of uterus and adnexal regions
投稿时间:2011-08-24  修订日期:2011-11-14
DOI:
中文关键词:  子宫附件  体层摄影术,X线计算机  磁共振成像  实性肿块
英文关键词:Adnexa uteri  Tomography, X-ray computed  Magnetic resonance imaging  Solid masses
基金项目:
作者单位E-mail
文小检 天津医科大学研究生院, 天津 300070  
刘筠 天津市人民医院影像学部, 天津 300121 cjr.liujun@vip.163.com 
华锐 天津市人民医院影像学部, 天津 300121  
许亮 天津市人民医院影像学部, 天津 300121  
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中文摘要:
      目的 探讨原发性子宫及附件区巨大实性肿块的CT、MRI表现及其诊断价值。 方法 回顾性分析17例患者共18个经手术病理证实的原发性子宫及附件区巨大实性肿块的影像学及临床资料。 结果 17例中,巨大外突性浆膜下子宫肌瘤5例;原发性输卵管癌1例;卵巢肿瘤11例,其中畸胎瘤、纤维卵泡膜瘤、卵巢内膜样癌各3例,颗粒细胞瘤、Brenner瘤各1例。 结论 CT和MRI能清晰显示病变内脂肪、钙化及盆腔积液、桥血管征,增强扫描有助于定位及定性诊断原发性子宫及其附件区巨大实性肿块。
英文摘要:
      Objective To analyze CT and MRI findings of primary giant solid masses in uterus and adnexal regions and their diagnostic value. Methods Imaging appearances and clinical data of 17 patients with 18 primary giant solid masses in uterus and adnexal regions proved by pathology after surgical operation were retrospectively analyzed. Results There were 5 patients with outprojecting subserous uterine leiomyomas, 1 with primary carcinoma tubae. Ovarian tumor was found in 11 patients, including 3 teratomas, 3 fibrothecomas, 3 endometriod adnocarcinomas, 1 granulose cell tumor and 1 Brenner tumor. Conclusion CT and MRI can present the calcification and fat within the tumors, ascites, as well as "bridging vessel sign". Contrast-enhanced images are helpful to the diagnosis of primary giant solid masses in uterus and adnexal regions.
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