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卵巢透明细胞癌的CT影像特征分析

发布时间:2018-10-15 20:17
【摘要】:目的探讨分析卵巢透明细胞癌的CT影像特征。方法回顾性分析12例有完整临床和CT图像资料并经病理证实的卵巢透明细胞癌,并总结其CT影像特征。结果 12例肿瘤发生的平均年龄约48岁,8例表现为I期病灶(75%);肿瘤均为单侧发生,平均最大径约11.6cm;肿块均呈囊性病灶伴发实性突起改变,单房囊实性10例,多房囊实性2例;9例病灶边缘清晰光整;囊性部分平均CT值约18HU;11例病灶实性突起呈偏心性附壁生长,6例病灶实性突起数目≤3个;增强后实性突起均呈明显不均匀强化。本组2例病灶伴发子宫内膜异位;5例病灶伴发腹水。结论卵巢透明细胞癌的CT表现具有一定的特征性,CT是诊断本病有价值的方法。
[Abstract]:Objective to investigate the CT imaging features of ovarian clear cell carcinoma (OCC). Methods 12 cases of ovarian clear cell carcinoma with complete clinical and CT images and pathologically proved were retrospectively analyzed and their CT imaging features were summarized. Results the mean age of 12 cases was about 48 years old, 8 cases showed stage I lesions (75%), all the tumors were unilateral with the mean maximum diameter about 11.6 cm, the masses were all cystic lesions accompanied with solid processes, and 10 cases had single cystic solid lesions. There were 2 cases of multilocular cystic solid, 9 cases of clear light of lesion edge, 11 cases of solid process with eccentric wall-attached growth, 6 cases with less than 3 solid processes, and all the solid processes showed obvious uneven enhancement after contrast enhancement, the mean CT value of cystic part was about 18 HUU, 11 cases of solid processes of lesions showed eccentric wall attachment growth, and the number of solid processes in 6 cases was less than 3. Endometriosis was found in 2 cases and ascites in 5 cases. Conclusion the CT findings of ovarian clear cell carcinoma are characteristic, and CT is a valuable method for the diagnosis of this disease.
【作者单位】: 南京中医药大学第一临床医学院;南京中医药大学附属医院放射科;
【分类号】:R737.31;R730.44

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