医学影像学杂志
醫學影像學雜誌
의학영상학잡지
JOURNAL OF MEDICAL IMAGING
2014年
10期
1801-1803
,共3页
雷光武%李海平%李文政%彭光春
雷光武%李海平%李文政%彭光春
뢰광무%리해평%리문정%팽광춘
卵巢肿瘤%卵泡膜细胞瘤%体层摄影术 ,X线计算机
卵巢腫瘤%卵泡膜細胞瘤%體層攝影術 ,X線計算機
란소종류%란포막세포류%체층섭영술 ,X선계산궤
Ovary tumor%Theca cell tumor%Tomography%Spiral computed
目的:分析卵泡膜细胞瘤的多层螺旋CT(MSCT)表现,探讨其CT表现特征,提高对其认识。方法回顾性分析15例卵泡膜细胞瘤的临床资料和MSCT表现,所有病例均经手术病理证实。结果15例患者均为单发,肿瘤呈圆形或卵圆形12例,分叶状3例;肿瘤范围2.5cm ×2.5cm~15.7cm ×12.8cm ;边界清楚9例,边界模糊6例;全部为实性者5例,内有囊变者10例。平扫肿瘤实性部分C T值与子宫肌层相似,增强后动脉期及实质期轻度强化,延时期进一步缓慢强化为轻度。肿瘤内坏死囊变区无强化,2例增强后肿瘤内见纤细血管影。7例合并盆腔少量积液。结论卵泡膜细胞瘤的M SC T表现在一定程度上能反映其大体形态及病理特征,对其诊断及鉴别诊断具有重要价值。
目的:分析卵泡膜細胞瘤的多層螺鏇CT(MSCT)錶現,探討其CT錶現特徵,提高對其認識。方法迴顧性分析15例卵泡膜細胞瘤的臨床資料和MSCT錶現,所有病例均經手術病理證實。結果15例患者均為單髮,腫瘤呈圓形或卵圓形12例,分葉狀3例;腫瘤範圍2.5cm ×2.5cm~15.7cm ×12.8cm ;邊界清楚9例,邊界模糊6例;全部為實性者5例,內有囊變者10例。平掃腫瘤實性部分C T值與子宮肌層相似,增彊後動脈期及實質期輕度彊化,延時期進一步緩慢彊化為輕度。腫瘤內壞死囊變區無彊化,2例增彊後腫瘤內見纖細血管影。7例閤併盆腔少量積液。結論卵泡膜細胞瘤的M SC T錶現在一定程度上能反映其大體形態及病理特徵,對其診斷及鑒彆診斷具有重要價值。
목적:분석란포막세포류적다층라선CT(MSCT)표현,탐토기CT표현특정,제고대기인식。방법회고성분석15례란포막세포류적림상자료화MSCT표현,소유병례균경수술병리증실。결과15례환자균위단발,종류정원형혹란원형12례,분협상3례;종류범위2.5cm ×2.5cm~15.7cm ×12.8cm ;변계청초9례,변계모호6례;전부위실성자5례,내유낭변자10례。평소종류실성부분C T치여자궁기층상사,증강후동맥기급실질기경도강화,연시기진일보완만강화위경도。종류내배사낭변구무강화,2례증강후종류내견섬세혈관영。7례합병분강소량적액。결론란포막세포류적M SC T표현재일정정도상능반영기대체형태급병리특정,대기진단급감별진단구유중요개치。
Objective To study the MSCT characteristics of ovarian thecoma in order to improve diagnostic value .Meth-ods MSCT features 15 patients with pathology proved ovarian thecoma were retrospectively analyzed .Results 15 cases was single ,the tumors were round or oval (n=12) ,and lobulated (n=3) in shape .The sizes of these tumors were about 2 .5 cm × 2 .5 cm~15 .7 cm × 12 .8 cm and 9 of 15 lesions were shown clear borders and 6 of 15 were shown vague borders . The tumors were solid in 5 cases and part of cystic in 10 cases .The scan revealed the solid part of tumors had similar den-sity to that of muscle layer of uterus .The enhanced CT scan showed that solid part of tumor manifested gradually en-hanced and cyst-like regions were not enhanced .2 cases had found that there were markedly enhanced slender tumor blood vessels at artery stage and solid stage .7 cases were found to have small ascetic fluid .Conclusion The ovarian theca cell tumor has some relatively distinct characteristics .The MSCT manifestations of thecal cell tumor of ovary could show its pathological traits to some extent ,which will play a very important role in diagnosing and differentiating other ovary disea-ses .