浆膜下蒂状粘液变性子宫肌瘤的MRI诊断及鉴别诊断  

MRI diagnosis and differential diagnosis of pedicled subserosal hysteromyoma with mucoid degeneration

作　　者：宋杰 曹子龙 王春立 陈新 SONG Jie;CAO Zi-long;WANG Chun-li(Department of medical imaging,Hebei Yanda Hospital,Hebei 065201,China)

机构地区：[1]河北燕达医院医学影像科,河北065201

出　　处：《放射学实践》2021年第1期108-111,共4页Radiologic Practice

摘　　要：目的:探讨浆膜下带蒂子宫肌瘤粘液变性的MRI影像特征,为其诊断、鉴别诊断和临床治疗提供信息。方法:搜集7例经病理证实为浆膜下子宫肌瘤粘液变性患者,回顾性分析其临床及MRI平扫、增强扫描表现。结果:7例都以蒂状结构与子宫相连,其中位于子宫底浆膜下2例,子宫颈浆膜下3例,子宫体浆膜下2例,7例均发现有血管样结构与蒂状结构伴行。7例T 2WI上均呈不均匀高信号,DWI上均呈不均匀高信号,ADC值减低。结论:浆膜下子宫肌瘤粘液变性T 2WI呈混杂高信号及含血管样蒂状结构与子宫相连,有助于明确诊断,并对指导临床治疗有重要价值。Objective:To explore the MRI features of pedicled subserosal hysteromyoma with mucoid degeneration for improving its diagnosis,differential diagnosis,and clinical treatment.Methods:Subserosal hysteromyoma with mucoid degeneration of 7 cases confirmed by pathology were enrolled.Clinical data and MRI manifestations were retrospectively analyzed.Results:All hysteromyoma were under the serous membrane and pedicle structure was found to connect with the uterus.Two of all cases were at uterine fundus,3 cases at the cervix,and 2 cases at the uterine corpus.MRI manifestation were found in all cases as follow.First,vascular structure and pedicle structure were found to accompany each other.Second,mass showed heterogenous hyperintensity on T 2WI and DWI.Third,ADC value was decreased.Conclusion:Heterogenous hyperintensity on T 2WI and vascularized pedicled structure connected to the uterus are important clues to diagnose pedicled subserosal hysteromyoma with mucoid degeneration and provide valuable information for guiding clinical treatment.

关 键 词：子宫肌瘤 浆膜下粘液变性子宫肌瘤 蒂 磁共振成像 

分 类 号：R737.33[医药卫生—肿瘤] R445.2[医药卫生—临床医学]