CT和MRI对原发性输卵管癌及卵巢囊腺癌的鉴别诊断价值  

The value of CT and MRI in differential diagnosis of primary fallopian tube carcinoma and ovarian cystadenocarcinoma

作　　者：胡旭宇 周静 崔延安 任帅 王中秋 任青玲 管群 HU Xuyu;ZHOU Jing;CUI Yan an;REN Shuai;WANG Zhongqiu;REN Qingling;GUAN Qun(Department of Radiology,Jiangsu Hospital of Traditional Chinese Medicine,Nanjing University of Chinese Medicine,Nanjing 210029,China;Department of Gynecology,Jiangsu Hospital of Traditional Chinese Medicine,Nanjing University of Chinese Medicine,Nanjing 210029,China)

机构地区：[1]南京中医药大学附属医院江苏省中医院放射科,江苏南京210029 [2]南京中医药大学附属医院江苏省中医院妇科,江苏南京210029

出　　处：《中国肿瘤外科杂志》2022年第5期459-462,共4页Chinese Journal of Surgical Oncology

摘　　要：目的探讨原发性输卵管癌(PFTC)和卵巢囊腺癌影像特征的鉴别要点。方法选择南京中医药大学附属医院江苏省中医院2018年1月至2021年12月收治的经手术病理证实的15例PFTC和20例卵巢囊腺癌。术前行CT或MRI检查,分析对比PFTC和卵巢囊腺癌的影像学特征:病灶单侧或双侧发病、病灶囊实性成分、有无腊肠征、病灶实性部分强化程度、有无宫腔积液、输卵管积液和盆腔淋巴结转移情况。结果PFTC组的发病年龄、病灶发生侧别差异无统计学意义(P>0.05)。PFTC组中有4例病灶形态出现腊肠样改变、输卵管积液和宫腔积液,而卵巢囊腺癌中无腊肠样改变、输卵管积液和宫腔积液患者,差异有统计学意义(P=0.018)。PFTC组中囊性为主伴附壁结节2例,囊实性病灶3例,实性病灶10例,而卵巢囊腺癌组中上述三类分别为10、7、3例,差异有统计学意义。PFTC组淋巴结转移发生率高于卵巢囊腺癌组(46.7%vs.15.0%),差异有统计学意义(P=0.045)。两组病灶实性部分强化程度差异无统计学意义(P>0.05)。结论腊肠征、输卵管积液、宫腔积液和囊性为主伴附壁结节的病灶对PFTC和卵巢囊腺癌有重要的鉴别诊断价值,可为临床诊治提供重要帮助。Objective To explore the differential features of primary fallopian tube carcinoma(PFTC)and ovarian cystadenocarcinoma.Methods 15 cases of PFTC and 20 cases of ovarian cystadenocarcinoma confirmed by surgery and pathology were selected from Jiangsu Hospital of Traditional Chinese Medicine,Affiliated Hospital of Nanjing University of Traditional Chinese Medicine,from January 2018 to December 2021.Before operation,CT or MRI examination was performed to analyze and compare the imaging features of PFTC and ovarian cystadenocarcinoma:unilateral or bilateral onset of the lesion,cystic and solid components of the lesion,presence or absence of sausage sign,enhancement degree of solid part of the lesion,presence or absence of uterine cavity effusion,fallopian tube effusion and pelvic lymph node metastasis.Results There was no significant difference in the age of onset and the side of lesion in PFTC group(P>0.05).In the PFTC group,there were 4 cases with sausage like changes,fallopian tube effusion and uterine cavity effusion,while in the ovarian cystadenocarcinoma,there were no cases with sausage like changes,fallopian tube effusion and uterine cavity effusion,and the difference was statistically significant(P=0.018).In the PFTC group,there were 2 cases of cystic lesions with mural nodules,3 cases of cystic and solid lesions,and 10 cases of solid lesions.In the ovarian cystadenocarcinoma group,there were 10,7,and 3 cases of the above three types,respectively,with statistical significance.The incidence of lymph node metastasis in PFTC group was significantly higher than that in ovarian cystadenocarcinoma group(46.7%vs.15.0%,P=0.045).There was no significant difference between the two groups in the enhancement degree of the solid part(P>0.05).Conclusions Dachshund sign,fallopian tube effusion,uterine cavity effusion and cystic lesions with mural nodules have important differential diagnostic value for PFTC and ovarian cystadenocarcinoma,and provide important help for clinical diagnosis and treatment.

关 键 词：原发性输卵管癌 卵巢囊腺癌 CT成像 磁共振成像 

分 类 号：R737.31[医药卫生—肿瘤] R737.32[医药卫生—临床医学]