摘要
目的探讨巨大子宫肌瘤的临床、病理与MRI表现的相关性。资料与方法经病理证实巨大子宫肌瘤4例,结合文献复习其MRI形态及信号特点,并与病理及临床症状对照。结果 4例巨大子宫肌瘤均位于浆膜外并沿子宫长轴方向生长,3例以左侧阔韧带为蒂偏侧生长;2例见"桥接血管征"。临床上以压迫症状为主无妇科症状。MR脂肪抑制T2WI呈高低混杂信号,似"大理石花纹"样,T1WI呈等信号,增强呈结节样不均匀强化。对应于病理上肌瘤变性,包括4例玻璃样变、4例黏液样变,2例囊变,1例梗死。结论掌握肌瘤变性的病理背景及相关临床特点有助于巨大子宫肌瘤的准确诊断。
Objective To explore the relationship between the features of MRI,clinical and pathological in the patients with enormous uterine leiomyomas.Materials and Methods MRI features of four patients with enormous uterine leiomyomas confirmed by pathology was reviewed and analyzed in comparison with pathological results and clinical symptoms.Results 4 cases were located subserosal and along the uterine long axis,3 cases extended along the left broad ligament,the bridging vascular sign were seen in 2 cases.The major symptoms of these patients with enormous uterine leiomyomas were caused by compression on adjacent organs.All cases showed heterogenerous intensity on fsT2WI just like marble pattern,isointensity on T1WI,nodule and heterogenerous enhancement on enhanced T1WI.Four cases were all degenerated,including 4 myxoid,4 hyaline,2 cystic,1 infarction.Conclusion Precise knowledge of the histopathologic background of degeneration and the clinical feature is helpful for accurate diagnosis of enormous uterine leiomyomas.
出处
《临床放射学杂志》
CSCD
北大核心
2011年第9期1395-1398,共4页
Journal of Clinical Radiology
关键词
巨大子宫肌瘤
磁共振成像
病理
临床
Enormous uterine leiomyomas Magnetic resonance imaging Pathology Clinical
