卵巢卵泡膜细胞瘤-纤维瘤的CT诊断与病理对照分析  

CT and pathologic analysis of ovarian fibrothecoma

作　　者：顾晓方[1] 陆海涛 邢伟[1] 

机构地区：[1]常州市第一人民医院影像科,江苏常州213003

出　　处：《实用放射学杂志》2017年第12期1887-1890,共4页Journal of Practical Radiology

摘　　要：目的 探讨卵巢卵泡膜细胞瘤-纤维瘤的CT诊断、鉴别诊断要点，并与术后病理进行对照分析。方法 回顾性分析15例（16个）卵巢卵泡膜细胞瘤-纤维瘤、7例颗粒细胞瘤的临床资料、CT表现以及术后病理，对卵泡膜细胞瘤-纤维瘤与颗粒细胞瘤的平扫CT值及增强扫描强化（ΔCT）值进行比较分析。结果 卵泡膜细胞瘤-纤维瘤在CT上为境界清楚的实性为主或囊实性肿块，增强呈轻度延迟强化或无明显强化，与术后病理相对应。卵泡膜细胞瘤-纤维瘤与颗粒细胞瘤的平扫CT值无明显差异（t=0.745，P=0.467），ΔCT显著低于颗粒细胞瘤（t=2.537，P=0.041）。结论 卵巢卵泡膜细胞瘤-纤维瘤在CT上具有一定的特征性，结合临床资料，有助于做出初步诊断。Objective To explore the CT features and differential diagnosis of ovarian fibrothecoma, and to compare with postoperative pathological findings.Methods The clinical data,CT appearances and pathological signs of 15 patients with ovarian fibrothecoma and 7 patients with granulosa cell tumor were analyzed retrospectively. The plain CT values and enhanced CT values （ACT） of fibrothecomas and granulosa cell tumors were compared with each other. Results The ovarian fibrothecomas showed solid or cystic-solid masses with welt-defined margin, mild delayed enhancement or no obvious enhancement on CT. The CT features were correspond to the pathological signs. The plain CT values of fibrothecoma and granulosa cell tumor had no significant difference （t- 0.745, P = 0.467）. The mean ACT values of fibrothecoma was significantly lower than that of granulosa cell tumor （t = 2.537, P = 0.041 ）.Condusion Ovarian fibrothecoma has characteristic CT features, combined with the clinical data, which may help to improve the diagnosis.

关 键 词：卵巢 卵泡膜细胞瘤-纤维瘤 计算机体层成像 

分 类 号：R737.31[医药卫生—肿瘤] R814.42[医药卫生—临床医学]