妇科癌肉瘤影像表现及临床病理特点  

Imaging Manifestations and Clinicopathological Features of Gynecological Carcinosarcoma

作　　者：姜楠[1] 胡粟[1] 尚亚雷[1] 平小夏[1] 孟倩[1] 王希明[1] 杨玲[1] 胡春洪[1] JIANG Nan;HU Su;SHANG Yalei(Department of Radiology,The First Affiliated Hospital of Soochow University,Suzhou,Jiangsu Province 215006,P.R.China)

机构地区：[1]苏州大学附属第一医院放射科,215006

出　　处：《临床放射学杂志》2023年第9期1477-1481,共5页Journal of Clinical Radiology

摘　　要：目的探讨妇科癌肉瘤(CS)的影像特征及其临床价值。方法回顾性分析经病理确诊的42例女性原发性生殖系统癌肉瘤患者的影像资料,观察并评估病灶的位置、形态、大小、数目、边缘以及强化方式,分析邻近器官受侵及转移情况,总结特征并与病理相对照。结果15例卵巢癌肉瘤病灶呈囊实性巨大肿块,多类圆形或椭圆形,瘤体最大径为5.3~24.2 cm;27例子宫癌肉瘤病灶多呈类圆形、椭圆形、类三角形,Ⅰ型瘤体最大径3.5~11.8cm,Ⅱ型子宫内膜厚度为1.3~2.8 cm。妇科CS密度、信号混杂,多边界欠清或不清,增强扫描多轻中度强化,可见包膜及迂曲增粗血管影,周围可见侵犯征象,腹盆腔可见淋巴结转移及少至大量腹腔积液。结论妇科CS在影像表现上具有一定的特征,影像检查可以评估病变的位置、大小、数目、边缘、与邻近结构的关系、是否存在转移等,为临床诊治提供重要依据。Objective To investigate the imaging features and clinical value of gynecologic carcinosarcoma(CS).Methods The imaging data of 42 cases with female primary genital carcinosarcoma confirmed by pathology were retrospec⁃tively analyzed,and the characteristics were summarized and compared with the pathology.Results The OCS lesions in 15 cases were large cystic-solid,and most of them were round or oval.The maximum diameter of OCS was 5.3-24.2 cm.The imaging of 27 UCS patients were mostly round,oval and triangular in shape.The maximum diameter of type I was 3.5-11.8 cm,and the endometrial thickness of type II was 1.3-2.8 cm.In gynecological CS,the density or signal was mixed,and the boundary was uncleared.Solid components were slightly to obviously enhanced,and tortuous thickened vascular shadow,the signs of invasion,pelvic and abdominal lymph node metastasis,and ascites could be found.Conclusion Gynecological CS has certain characteristics in imaging manifestations.Imaging examinations can evaluate the location,size,number,edge,relationship with adjacent structures and the presence of metastasis,which provides an important basis for clinical diagnosis and treatment.

关 键 词：妇科癌肉瘤 计算机体层成像 磁共振成像 

分 类 号：R737.3[医药卫生—肿瘤] R730.44[医药卫生—临床医学]