CAJ | 학술논문

目的：探讨卵巢透明细胞癌的MRI特征。方法回顾性分析9例经手术病理证实的卵巢透明细胞癌的MRI表现。结果9例均为单侧病变，肿块较大，直径6.5-21.3cm，其中1例为实性肿块，8例为囊实性，囊实性肿块均以囊性成分为主伴多发结节，边缘清晰，肿块实性成分信号均匀，T1WI呈等低信号，T2WI呈高信号，DWI呈高信号，ADC值减低，均值为(0.76±0.12)×10-3mm2/s。结论卵巢透明细胞癌MRI表现有一定特征，有助于临床上进行诊断及鉴别诊断。
목적：탐토란소투명세포암적MRI특정。방법회고성분석9례경수술병리증실적란소투명세포암적MRI표현。결과9례균위단측병변，종괴교대，직경6.5-21.3cm，기중1례위실성종괴，8례위낭실성，낭실성종괴균이낭성성분위주반다발결절，변연청석，종괴실성성분신호균균，T1WI정등저신호，T2WI정고신호，DWI정고신호，ADC치감저，균치위(0.76±0.12)×10-3mm2/s。결론란소투명세포암MRI표현유일정특정，유조우림상상진행진단급감별진단。
Objective To explore the magnetic resonance imaging(MRI) characteristics of ovarian clear cell adenocarcinoma. Methods The MRI images of 9 patients with pathologically confirmed ovarian clear cell adenocarcinoma were analyzed retrospectively. Results Tumors were unilateral in all of 9 patients. The masses were large, and the average size ranged from 6.5cm to 21.3cm in diameter. 1 lesion of all 9 cases was solid mass, and 8 lesions were cystic and solid masses. All the cystic and solid masses showed mainly cystic appearance with multiple nodules and smooth margin. The signal of the solid parts in all masses was homogeneous. They showed low signal on T1WI, high signal on T2WI, high signal on DWI, ADC value reduction ,and the mean ADC value was(0.76±0.12)×10-3mm2/s. Conclusions MRI findings of ovarian clear cell adenocarcinoma have some characteristics, contributing to the clinical diagnosis and differential diagnosis.