子宫内膜癌的电子束CT诊断  

Diagnosis of endometrial carcinoma with EBCT

作　　者：苏宏[1] 郑宁[1] 黄伟[1] 刘锦霞[1] 陈自谦[1] 卢光明[1] 

机构地区：[1]南京军区总医院影像科

出　　处：《中国CT和MRI杂志》2005年第4期40-42,共3页Chinese Journal of CT and MRI

摘　　要：目的探讨电子束CT对子宫内膜癌的诊断作用。方法经病理证实的子宫内膜癌患者27例,其中腺癌21例,腺鳞癌4例,浆液乳头状癌及透明细胞癌各1例。临床分期Ⅰ期13例,Ⅱ期7例,Ⅲ期4例,Ⅳ期3例。所有患者均行电子束CT平扫及增强。结果CT表现子宫腔扩大、内膜增厚25例;子宫肌壁厚薄不均21例,其中7例可见腔内乳头状结节或团块;子宫体增大18例;子宫颈增大变形、密度不均7例;子宫轮廓不规则,宫旁间隙及盆腔侧壁斑片、结节或团块影5例;肝脏、腹腔远处转移3例。27例子宫内膜癌患者CT分期与临床分期一致25例,2例CT判断错误。结论电子束CT在子宫内膜癌的诊断及分期中具有重要作用。Objective To assess value of EBCT in diagnosis of endometrial carcinoma. Methods EBCT was performed with plain and enhanced seanning for 27 patients with endometrial carcinoma confirmed by pathology. Of the 27 patients, 21 were with adenocarcinoma, 4 wdh adeno-squamous carcinoma, and 1 with serous mastoid carcinoma and 1 with clear cell carcinoma. 13 patients were in stage Ⅰ, 7 in Ⅱ 4 in Ⅲ, and 3 in Ⅳ. Results 25 cases displayed enlarged uterine cavity and thickened endometrium; 21 displayed uneven thickness of myometrium, 7 displayed papillary nodules or mass in the eavity; 18 displayed enlarged uterine corpus, 7 displayed enlarged and deformed uterine cervix with inhomogeneous density, 5 displayed irregular outline ofuterus, patches, nodules or masses in parametrial and pelvic wall： 3 had distant metastasis to liver and abdominal cavity. 25 cases were coherent between CT staging and clinical staging, and 2 cases were proved wrong of results from CT. Conclusion EBCT is of great value in diagnosis and staging of endometrial carcinoma.

关 键 词：电子束CT 子宫内膜癌 

分 类 号：R814.42[医药卫生—影像医学与核医学] R737.33[医药卫生—放射医学]