不典型原发性输卵管癌与卵巢囊腺癌的CT特征

发布时间：2018-01-28 11:29

本文关键词： 输卵管肿瘤卵巢肿瘤囊腺癌体层摄影术 X线计算机 CA-抗原　出处：《中国医学影像学杂志》2015年11期 　论文类型：期刊论文

【摘要】：目的探讨不典型原发性输卵管癌(PCFT)和卵巢囊腺癌(OCA)的临床及CT影像特点,以提高其诊断率。资料与方法回顾性分析经手术病理证实的12例不典型PCFT患者(PCFT组)和20例OCA患者(OCA组)的CT检查和临床资料。比较两组患者血清CA125值、临床表现及CT特征。结果 PCFT组和OCA组CA125值分别为(486.13±23.89)U/ml和(1606.94±62.86)U/ml,差异有统计学意义(P0.01)。PCFT组和OCA组阴道流血与阴道排液比较,差异有统计学意义(P0.01)。PCFT组CT表现不规则实性肿块4例,囊实性肿块8例,无囊性肿块;OCA组无不规则实性肿块,囊实性肿块16例,囊性肿块4例;两组实性肿块、囊实性肿块比较差异有统计学意义(P0.05)。两组患侧卵巢静脉直径、患侧子宫圆韧带直径、病灶体积、病灶增强扫描后静脉期与延迟期CT值比较差异均有统计学意义(P0.05、P0.01);两组转移淋巴结大小、病灶平扫与动脉期CT值差异无统计学意义(P0.05)。结论平均血清CA125值、阴道流血与阴道排液等临床表现与患侧卵巢静脉直径、患侧子宫圆韧带直径、病灶体积、病灶增强扫描后静脉期与延迟期CT值相结合是诊断PCFT与OCA的鉴别要点。
[Abstract]:Objective to investigate the clinical and CT features of atypical primary fallopian tube carcinoma (PCFTT) and ovarian cystadenocarcinoma (OCA). Data and methods 12 cases of atypical PCFT proved by operation and pathology were treated with PCFT and 20 cases with OCA were analyzed retrospectively. To compare the serum CA125 values of the two groups. Results the CA125 values of PCFT group and OCA group were 486.13 卤23.89 U / ml and 1606.94 卤62.86, respectively. U/ml. There were significant differences in vaginal bleeding and vaginal effusion between P0.01. PCFT group and OCA group. There were significant differences in CT findings of 4 cases of irregular solid mass, 8 cases of cystic mass and 8 cases of cystic mass in P0.01. PCFT group. In OCA group, there were no irregular solid masses, 16 cystic masses and 4 cystic masses. The difference between the two groups was statistically significant (P 0.05). The diameter of ovarian vein, the diameter of round ligament of uterus and the volume of lesion were found in the two groups. There were significant differences in CT values between the venous phase and the delayed phase after contrast-enhanced scanning (P0.05 and P0.01). There was no significant difference in the size of metastatic lymph nodes between the two groups in plain scan and CT value in arterial phase (P 0.05). Conclusion the mean serum CA125 value was higher than that in the control group (P < 0.05). The clinical manifestations such as vaginal bleeding and vaginal effusion were related to the diameter of the ovarian vein the diameter of the round ligament of the uterus and the volume of the lesion. The combination of CT value of venous phase and delayed phase after contrast-enhanced scanning is the key to differential diagnosis between PCFT and OCA.
【作者单位】：江苏省苏北人民医院影像科;
【基金】：江苏省苏北人民医院院级基金资助项目(yzucms201223)
【分类号】：R737.3;R730.44
【正文快照】： 原发性输卵管癌(primary carcinoma of the fallopian性肿瘤的0.14%~1.80%,然而当PCFT CT表现不典tube,PCFT)是少见的恶性肿瘤,占女性生殖系统恶型时,极易被误诊为卵巢癌[1]。目前既往文献对典型PCFT的影像报道较多,主要表现为呈腊肠样、蛇2.2实验室检查和临床表现结果PCFT

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