转移性卵巢肿瘤的CT诊断  

CT Diagnosis of Ovarian Metastatic Tumors

作　　者：许玲辉[1] 王玖华[1] 沙炎[2] 陈彤箴[3] 

机构地区：[1]复旦大学附属肿瘤医院放射诊断科,上海200032 [2]复旦大学附属眼耳鼻喉医院 [3]复旦大学附属肿瘤医院病理科,上海200032

出　　处：《临床放射学杂志》2003年第10期852-855,共4页Journal of Clinical Radiology

摘　　要：目的　评价转移性卵巢肿瘤的CT诊断价值。资料与方法　对 2 9例经手术病理证实的转移性卵巢肿瘤进行CT回顾性分析。结果　 2 9例转移性卵巢肿瘤CT发现 45个肿瘤 ,18例为双侧病灶 (6 2 .1%) ,9例为单侧病灶(31.0 %) ,2例未发现病灶 ;45个肿瘤中Ⅰ型 3个 ,Ⅱa型 14个 ,Ⅱb型 10个 ,Ⅱc型 11个 ,Ⅲ型 7个 ;以囊性为主的病灶 17个 ,占 37.8%,混合性 10个 ,占 2 2 .2 %,实性为主的病灶 18个 ,占 40 .0 %;以囊性为主的病灶单房 3个 ,多房14个 ;原发部位分别为胃 10例 ,肠 7例 ,原发部位不明 5例 ,宫颈 2例 ,乳房、胆囊、阑尾、肺及类癌各 1例。结论　转移性卵巢肿瘤病灶以双侧多见 ,实性为主 ,原发灶常见于胃肠道。Objective To evaluate CT scanning in diagnosing ovarian metastases.Materials and Methods CT findings in 29 patients with pathologically-proved ovarian metastases were retrospectively analyzed.Results A total of 45 lesions were found on CT scans in 29 cases. Of 29 cases, the lesions were bilateral in 18 (62.1%) and unilateral in 9 (31%), no lesions were found in the remaining two. Of the 45 lesions, type Ⅰ had 3, type Ⅱa 14, type Ⅱb 10, type Ⅱc 11 and type Ⅲ 7. The lesions were mainly cystic in 17 (37.8%), mixed in 10 (22.2%), solid in 18 (40.0%). Of the 17 cystic lesions, 3 were unilocular while 14 multilocular. The primary neoplasms included stomach (n=10), intestine (n=7), uterine cervix (n=2), breast (n=1), gallbladder (n=1), appendix (n=1), lung (n=1), carcinoid (n=1) and unknow (n=5).Conclusion Most ovarian metastases are bilateral and solid. The primary lesions are mainly in the gastrointestinal tract.

关 键 词：转移性卵巢肿瘤 CT检查 诊断 原发肿瘤 

分 类 号：R737.31[医药卫生—肿瘤] R730.44[医药卫生—临床医学]