张伟,王兰荣,薛鹏,陈勇,马秀华.卵巢Brenner瘤的影像学表现及病理对照分析[J].中国医学影像技术,2014,30(8):1226~1229
卵巢Brenner瘤的影像学表现及病理对照分析
Imaging findings of ovarian brenner tumor and correlation with pathology
投稿时间:2014-01-07  修订日期:2014-06-11
DOI:
中文关键词:  卵巢肿瘤  Brenner瘤  体层摄影术  X线计算机  磁共振成像
英文关键词:Ovarian neoplasms  Brenner tumor  Tomography  X-ray computed  Magnetic resonance imaging
基金项目:
作者单位E-mail
张伟 郑州人民医院医学影像科, 河南 郑州 450003 walen2006@sina.com 
王兰荣 郑州市第三人民医院肿瘤科, 河南 郑州 450000  
薛鹏 郑州人民医院医学影像科, 河南 郑州 450003  
陈勇 郑州人民医院医学影像科, 河南 郑州 450003  
马秀华 郑州人民医院医学影像科, 河南 郑州 450003  
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中文摘要:
      目的 探讨卵巢Brenner瘤的影像特点及其与病理的关系。方法 回顾性分析12例经手术病理证实的卵巢Brenner瘤患者的影像表现,并与临床病理资料对照分析。结果 单侧病变9例,双侧病变3例。实性病变5例,均为良性,瘤体内伴大量无定形钙化,增强扫描呈轻或中度持续强化。囊实性病变6例,4例为交界性Brenner瘤,2例为混合型肿瘤(交界性Brenner瘤合并黏液性囊腺瘤);5例以囊性为主,可见壁结节,1例以实性为主。各例实性部分均可见钙化,增强扫描呈中度或明显持续渐进性强化。另有1例双侧交界性Brenner瘤表现为一侧实性、一侧囊实性合并黏液性囊腺瘤。实性病变和囊实性病变实性部分T2WI呈低信号。结论 卵巢Brenner瘤的CT表现具有较高特异性,MRI表现具有一定特点。
英文摘要:
      Objective To study the imaging characteristics of ovarian brenner tumor and the correlation with pathologic features. Methods Imaging characteristics of 12 patients with ovarian brenner tumor comfirmed by pathology were analyzed retrospectively and compared with pathologic information. Results Tumors were unilateral in 9 patients and bilateral in 3 patients. Five solid masses were all benign brenner tumor and showed plentiful irregular calcification and mild to moderate persistent enhancement. Six cases showed mixed solid-cystic masses with pathology proven simple borderline brenner tumor in 4 cases and mixed tumor (borderline brenner tomor and mucinous cystadenoma) in 2 cases. Among above 6 cases, 5 cases consisted mainly of cystic component with nodules on cyst wall, 1 case consisted mainly of solid component. All the solid components showed calcification and moderate to marked progressive enhancement. Another borderline brenner tumor manifested as solid mass on one side and solid-cystic mass with mucinous cystadenoma on the other side. All the solid masses and solid component of solid-cystic mass showed low signal on T2WI. Conclusion CT findings of ovarian brenner tumor have higher specificity. MRI manifestation of the lesions have certain characteristics.
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