卵巢甲状腺肿CT、MRI特征及手术病理对照  

CT and MRI features of struma ovarii and comparison with surgical and pathological results

作　　者：武新育 李光明 刘红艳 彭旭红 WU Xinyu;LI Guangming;LIU Hongyan;PENG Xuhong(Department of Imaging,Qingyuan People's Hospital,Qingyuan,Guangdong Province 511500,China)

机构地区：[1]清远市人民医院影像科,广东清远511500

出　　处：《实用放射学杂志》2023年第4期612-614,630,共4页Journal of Practical Radiology

摘　　要：目的探讨卵巢甲状腺肿(SO)的CT、MRI影像学特征。方法收集11例经手术病理证实的SO临床资料及CT和MRI资料,结合病理结果回顾性分析CT、MRI表现。结果11例中,右侧病变4例,左侧病变7例;病变大小5.7~22.1cm,平均(10.8±5.3)cm。囊实性病变9例(81.8%),其中多房病变6例(54.5%),囊性病变2例(18.1%);病变内分隔9例(81.8%);高密度囊液9例(81.8%);囊壁及分隔钙化5例(45.4%);盆腔积液4例(36.3%);增强扫描实性成分明显强化7例(7/10,70%),轻度强化1例(1/10,10%);囊性病变2例均未强化(2/10,20%)。结论卵巢囊性或囊实性肿块伴高密度囊液、实性成分明显强化、囊壁及分隔钙化是SO的CT、MRI特征。Objective To explore the features of CT and MRI of struma ovari(SO).Methods The clinical,CT and MRI data of 11 patients with SO confirmed by surgery and pathology were collected,then CT and MRI findings were analyzed retrospectively in comparison with pathological results.Results Of all 1l cases,4 lesions on the right side and 7 lesions on the left side.The size of lesion ranged from 5.7 cm to 22.1 cm(10.8 cm±5.3 cm).9 lesions(81.8%)were cystic-solid lesions,including 6 cases of multilocular lesions(54.5%),and 2 lesions(18.1%)were cystic;9 lesions(81.8%)were visible with an internal septum;9 lesions(81.8%)were accompanied by high-density cystic fluid;calcification of cystic wall or septum were found in 5 lesions(45.4%);4 lesions were found with pelvic effusion(36.3%);the solid component,including the cyst wall and interval,were enhanced significantly in the 7 lesions(7/10,70%),and were mild enhanced in 1 lesion(1/10,10%).There were no enhancement in 2 cystic lesions(2/10,20%).Conclusion Ovarian cystic or cystic mass with high-density cystic fluid,significant enhancement of solid components,and calcification of cystic wall or septum are the CT and MRI features of SO.

关 键 词：卵巢甲状腺肿 病理学 计算机体层成像 磁共振成像 

分 类 号：R737.31[医药卫生—肿瘤] R446.8[医药卫生—临床医学] R814.42R445.2