女性生殖器原发恶性肿瘤胸部转移的X线与临床特征(附204例报告)  

X-ray and Clinical Features of Thoracic Metastasis of Primary Malignant Tumor in Female Genital System

作　　者：张琳[1] 王金丽 周元春[1] 蒋学祥[1] 高玉洁[1] 

机构地区：[1]北京大学第一医院放射科,北京100034 [2]内蒙临河铁路医院放射科

出　　处：《实用放射学杂志》2002年第5期389-392,共4页Journal of Practical Radiology

摘　　要：目的　明确女性生殖器原发恶性肿瘤胸部转移的X线与临床特征是重要的 ,以提高诊断水平。方法　 2 0 4例女性生殖器肿瘤患者 ,以手术病理证实为恶性肿瘤 ;手术及化疗前后均摄取X线正、侧位胸片 ,人均 1～ 6次不等 ;并有 30例做过CT扫描 ;48例做CA - 1 2 5及 2 3例做HCG化验检查。全部资料均由 3位以上医师做了回顾性的分析。结果　 2 5例以胸水表现的胸腔转移 ,CA - 1 2 5值为 1 2 5 - 3765u/ml(正常值 <35u/ml)不等 ;1 2例滋养细胞肿瘤的肺转移 ,hCG升高为 92～ 2 0 0 0 0 0mIU/ml(正常值 <5mIU/ml) ,其中有 1例绒癌肺转移为正常孕期 38周中 ,hCG值 1 841 0 0mIU/ml。结论　胸腔内胸水转移者以卵巢癌最多 ,滋养细胞恶性肿瘤转移多为肺结节形式 。Objective To kown X-ray and clinic feature of thoracic metastasis of primary malignant tumor of female genital organs,so that to improve diagnostic accuracy.Methods All 204 cases of female genital tumor were confirmed by operation and pathology.The thoracic films of postero-anterior and lateral projections were performed before and after operation and chemotherapy in all patients, CT scan was performed in 30 cases CA-125 in 48 cases and HCG in 23 cases were done.All data of patients were reviewed and analysed by 3 doctors.Results 25 cases presented pleural fluid,CA-125 rised to 125-3765 u/ml;12 cases presented pulmonal shadow,hCG rised to 92-200000 mIU/ml.One of Choriocarcinoma had appeared pulmonal metastasis in normal pregnancy.Conclusion The metastasis of pleural fluid is most seen in ovary carcinoma,pulmonary metastatic tubercle is most manifestion in choriocarcinoma.Pulmonary metastasis of choriocarcinoma can't be ignored in normal pregnancy.

关 键 词：女性生殖器 原发恶性肿瘤 胸部转移 X线检查 诊断 临床特征 

分 类 号：R730.44[医药卫生—肿瘤] R737.3[医药卫生—临床医学]