ISSN 1004-4140
CN 11-3017/P

卵巢卵泡膜细胞瘤的CT特征分析

An Analysis of the CT Features of Ovarian Thecoma

  • 摘要: 目的:分析卵巢卵泡膜细胞瘤的CT表现特点,以提高对此病的认识和诊断水平。方法:回顾性分析12例经手术病理证实的卵巢卵泡膜细胞瘤患者的临床资料和CT表现。CT表现从部位、大小、形态及边界平扫密度特征及强化程度,病灶有无囊变及腹水等进行分析。密度特征以子宫肌层密度作为参照。结果:12例患者临床上发病年龄为23~66岁,平均38岁。其中合并子宫肌瘤2例,合并子宫腺肌症1例,合并宫颈癌1例。12例肿瘤均为单侧。大部分肿块形态以圆形或卵圆形为主。肿块小者约1.5cm×2.0cm,大者约5.5cm×7.0cm,平均约2.8cm×3.0cm。CT平扫7例为实性肿块,4例为囊实性,1例为完全囊性。无腹水8例,少量腹水4例。增强扫描实性部分动脉期强化不明显,实质期不均性轻度强化为主要表现,囊性部分未见强化。结论:卵泡膜细胞瘤CT表现的良性形态特征,特别是其乏血供性轻度强化特征,有助于对该肿瘤的诊断及鉴别诊断。

     

    Abstract: Objective: To analyze CT features of ovarian thecoma to enhance the understanding and the correct diagnosis of that disease.Methods: A retrospective analysis of clinical data and CT manifestations is performed in 12 cases of ovarian thecoma sufferers which have been confirmed through surgery and pathology.CT manifestations are analyzed in terms of the location,size,shape and boundary,plain scan density and intensity extent,whether or not focus of infection having cystic change and ascites.The characteristic of density is subject to myometrium for reference.Results: A total of 12 patients ranging from 23 to 66 years old with a mean age of 38 are enrolled in the clinical study.Of the 12 patients,two suffer from amalgamative uterine myoma,one suffer from amalgamative uterine gland muscle disease,one suffer from amalgamative cervical carcinoma.The tumors of the 12 cases are all unilateral,the shape of most tumors are predominantly round or orbicular-ovate.The small tumors are 1.5cm×2.0cm and the big ones are 5.5cm×7.0cm,average 2.8cm×3.0cm.CT plain scan demonstrates the solid mass in seven cases,cystic-solid mass in four cases,and cystic mass in one case.No ascites is observed in eight cases and mininal ascites in four cases.CT enhancement showed the solid part of tumor with unobvious enhancement at the arterial phase,and inhomogeneous mild enhancement is chief manifestation at the equilibrium phase.The enhancement of cystic part is not observed.Conclusion: The benign morphological characteristic of ovarian thecoma on CT,especially the mild contrast enhancement of its slight blood supply is conducive to the diagnosis and differential diagnosis of the tumor.

     

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