子宫平滑肌脂肪瘤患者临床资料分析

发布时间：2018-04-30 16:18

本文选题：平滑肌脂肪瘤 + 子宫　；参考：《安徽医学》2016年10期

【摘要】：目的分析子宫平滑肌脂肪瘤的临床、病理及MRI特点。方法回顾性分析2010-2012年中国人民解放军第105医院2例经手术病理证实的子宫平滑肌脂肪瘤病例资料,结合文献中资料较为完整的27例进行综合分析。结果 1子宫平滑肌脂肪瘤主要发生于围绝经期或绝经后妇女,临床大多有不规则阴道流血、下腹胀痛等症状或者无明显症状。21例子宫平滑肌脂肪瘤位于肌壁间,4例位于黏膜下,2例位于浆膜下,1例位于宫颈,1例位于左侧阔韧带。2显微镜下瘤体由成熟平滑肌细胞和脂肪细胞按不同比例混合构成。3MRI信号特点:子宫平滑肌脂肪瘤大部分以T1、T2高信号,脂肪抑制序列为低信号;增强后病灶内非脂肪信号软组织成分呈轻到中度强化;多无囊变或坏死。结论子宫平滑肌脂肪瘤好发生于围绝经期或绝经后妇女,临床表现与子宫平滑肌瘤类似,肿瘤内大范围的脂肪信号是其MRI特点。
[Abstract]:Objective to analyze the clinical, pathological and MRI features of uterine leiomyolipoma. Methods two cases of uterine leiomyolipoma confirmed by surgery and pathology in the 105th Hospital of Chinese people's Liberation Army from 2010 to 2012 were retrospectively analyzed. Results (1) uterine leiomyolipoma mainly occurred in perimenopausal or postmenopausal women. 21 cases of uterine leiomyolipoma located between muscle walls 4 cases located in submucous membrane 2 cases in subserous membrane 1 case in cervix and 1 case in left broad ligament .2 microscope the tumor was matured and smooth. The characteristics of MRI signal of myocytes and adipocytes mixed in different proportions were as follows: most of the uterine leiomyolipoma had high signal intensity in T _ 1 and T _ 2. The sequence of fat suppression was low signal; the soft tissue component of non-fat signal was mild to moderate enhancement after enhancement, and there was no cystic degeneration or necrosis. Conclusion uterine leiomyolipoma is more common in perimenopausal or postmenopausal women, and its clinical manifestation is similar to that of uterine leiomyoma. The large range of fat signal in the tumor is the characteristic of MRI.
【作者单位】：中国人民解放军第105医院医学影像科;
【分类号】：R737.33

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