原发性输卵管癌的影像学特征

发布时间：2018-05-30 17:02

本文选题：输卵管肿瘤 + 超声检查　；参考：《中国医学影像技术》2015年05期

【摘要】：目的分析原发性输卵管癌(PFTC)超声、CT、MRI及PET/CT的影像学特征。方法回顾性分析32例经手术病理证实为PFTC患者的影像学图像及临床资料。结果 32例PFTC患者中,单侧31例,双侧1例。伴对侧输卵管积水1例,伴同侧皮样囊肿1例,2例卵巢转移,1例结肠转移。超声表现为附件区梭形实质性低回声肿物(n=16)、不均质团块样肿物(n=4)、"腊肠型"囊性肿物(n=7)。CT表现为附件区实性肿块7例,囊肿块7例,囊实混合性肿块2例。MRI表现为类圆形等T1稍长T2信号(n=2)或稍短T1稍长T2信号结节(n=2)。PET/CT表现为附件区软组织密度肿块影(n=1)或附件区囊实混合密度(n=2)。结论超声可有效发现PFTC附件区肿物,并区别囊实性;CT、MRI及PET/CT有助于PFTC的定位。
[Abstract]:Objective to analyze the MRI and PET/CT features of primary fallopian tube carcinoma. Methods the imaging images and clinical data of 32 patients with PFTC proved by operation and pathology were analyzed retrospectively. Results among 32 patients with PFTC, 31 were unilateral and 1 bilateral. There were 1 case with contralateral hydrosalpinx, 1 case with ipsilateral dermoid cyst 1 case with ovarian metastasis and 1 case with colon metastasis. Ultrasonic findings included fusiform hypoechoic masses in the adnexal region, hypoechoic masses in the adnexal region (n = 16), heterogeneous masses (n = 4), cystic masses of "sausage type" (n = 7), solid masses in the adnexal region (n = 7) and cyst masses (n = 7). The MRI findings of mixed cystic and solid masses were as follows: round T 1, slightly longer T 2 signal intensity 2) or short T 1, slightly longer T 2 signal nodule. PET / CT showed soft tissue density mass in the adnexal region, or adnexal soft tissue mass with mixed density, or the adnexal region with a mixed density of T 2 / T 2 / T 2 / T 2 / T / T. Conclusion Ultrasound can effectively detect the adnexal region of PFTC, and differentiating the cystic and solid CT MRI from PET/CT is helpful to the localization of PFTC.
【作者单位】：中国医科大学附属盛京医院超声科;
【基金】：中国医科大学附属盛京医院放射科
【分类号】：R737.32;R445;R730.44

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