卵巢子宫内膜样腺癌的MRI表现  

Magnetic resonance imaging findings of ovarian endometrioid adenocarcinoma

作　　者：张园[1] 孙多成[1] 汪新良[1] 欧常学[1] 叶伙华[1] 靳瑞娟[1] 

机构地区：[1]广东省中山市博爱医院放射科,广东中山528400

出　　处：《中国中西医结合影像学杂志》2014年第3期242-243,267,共3页Chinese Imaging Journal of Integrated Traditional and Western Medicine

摘　　要：目的:探讨成年女性卵巢子宫内膜样腺癌的MRI表现和临床特征。方法:回顾性分析12例经手术和病理证实的卵巢子宫内膜样腺癌患者的MRI表现。结果:12例19个卵巢子宫内膜样腺癌中,5个腺癌伴瘤内出血,7例双侧卵巢发病,6例合并子宫内膜样腺癌。19个卵巢子宫内膜样腺癌中,14个呈囊实性肿块,5个呈实性肿块。增强扫描示19个肿瘤病灶实性成分均明显强化,囊性成分不强化。结论:卵巢子宫内膜样腺癌多呈囊实性肿块,常伴瘤内出血,常合并或继发子宫内膜样腺癌,可见双侧卵巢发病。Objective：To assess MR images and clinical characteristics of ovarian endometrioid adenoearcinoma （OEA） in adult females. Methods：The MRI and clinic data of the patients with 19 surgically and histologically proven ovarian endometrioid adenocareinomas （OEAs） were analyzed retrospectively. Results：Of 19 OEAs in 12 cases,5 （5/19） OEAs were complicated by intratumoral hemorrhage,7 （7/12） cases by bilateral OEAs, 6 （6/12） cases by endometrioid adenocareinoma. Of 19 OEAs, 14 （14/19） were cystic solid ~esions and 5 （5/19） were solid lesions on MRI. Solid components of OEAS were significantly hyperintense after enhanced scanning,whereas cystic components were not. Conclusions：OEAs are predominantly cystic solid lesions on MRI,usually complicated by intratumorai hemorrhage,and usually complicated by or secondary to endometrioid adenocarcinoma. Bilateral OEAs are not uncommon.

关 键 词：卵巢肿瘤 腺癌 磁共振成像 

分 类 号：R737.31[医药卫生—肿瘤] R445.2[医药卫生—临床医学]