老年少见巨大卵巢良性肿瘤的MRI诊断  

Diagnosis of MRI for Rare and Giant Ovarian Benign Tumors in Elderly Women

作　　者：马周鹏 于骞[2] 林观生 周建军[3] MA Zhou-peng;YU Qian;LIN Guan-sheng(Department of Radiology,Jinshan TCM-Integrated Hospital of Shanghai City,Shanghai 201501,China)

机构地区：[1]上海市金山区中西医结合医院放射科,上海201501 [2]浙江省宁波市慈溪市人民医院放射科,浙江宁波315300 [3]复旦大学附属中山医院,上海200032

出　　处：《中国CT和MRI杂志》2019年第2期53-56,共4页Chinese Journal of CT and MRI

基　　金：复旦大学IBS基金资助项目(12408)

摘　　要：目的分析老年少见巨大卵巢良性肿瘤的MRI表现,提高诊断水平。方法回顾性分析经手术及病理学证实的27例老年少见巨大卵巢良性肿瘤的MRI资料,并复习相关文献。结果 27例病例年龄均大于65岁,绝经时间15-26年。共发现28个肿瘤,其中卵泡膜细胞瘤11个,卵巢纤维瘤8个,卵泡膜纤维瘤7个,硬化性间质瘤及Brenner瘤各1个。肿瘤最大直径约11-25cm,边界均较清楚,周边结构未见明显侵犯。不同类别肿瘤的MRI信号和强化特点各不相同。结论 MRI可以一定程度显示老年少见巨大卵巢良性肿瘤的病理学改变,对其诊断及鉴别具有重要价值。Objective To analyze the MRI representations of rare and giant ovarian benign tumors in elderly women and improve the diagnostic level.Methods A total of 27 cases of rare and giant ovarian benign tumors in elderly women which proved by surgery and pathology were retrospectively analyzed,and the corresponding literatures were reviewed.Results All 27 cases were over 65 years of age and the menopause time was 15-26 years.There were 28 tumors in 27 cases,containing 11 cases of theca cell tumor,8 cases of ovarian fibromaes and 7 cases of thecoma-fibromaes,1 cases sclerosing stromal tumor and 1 cases of Brenner tumor respectively.The boundary of all tumors were clear,the maximum diameter of all tumors was 11-25 cm and there was no obvious invasion of the surrounding structure.The MRI signal and enhanced characteristics of different types of tumor were diverse.Conclusion MRI can show certain pathological changes of rare and giant ovarian benign tumors in elderly women and show important value for its diagnosis and differential diagnosis.

关 键 词：卵巢肿瘤 老年 磁共振成像 

分 类 号：R737.31[医药卫生—肿瘤]