摘要
目的分析卵巢非单房浆液性囊腺瘤与浆液性交界性肿瘤影像特点,提高诊断及鉴别诊断。方法回顾分析21例经手术病理证实为浆液性囊腺瘤、浆液性交界性肿瘤。3例行CT扫描,18例行MRI扫描,其中1例行CT增强、13例行MRI增强检查。结果浆液性囊腺瘤15例共16个肿瘤,浆液性交界性肿瘤6例共9个肿瘤。两者在患者年龄、病变大小比较差异均有统计学意义(P<0.05),壁结节及囊内信号比较差异也有统计学意义,病灶部位、内部结构比较差异无统计学意义。结论非单房浆液性囊腺瘤,多发生在生育年龄,分房数量较少,囊内以长T1长T2信号为主,囊壁菲薄,囊壁及分隔轻度强化;浆液性交界性肿瘤,多见于30~50岁中青年女性,分房数量较少,囊内呈短、稍短或等T1长T2信号,囊壁结节较常见,囊壁、壁结节及分隔强化。
Objective To analyze the imaging features of ovarian non-unilocular serous cystadenoma and serous borderline tumors, and to improve the diagnosis and differential diagnosis. Methods Retrospective analysis of 21 cases of serous cystadenoma and serous borderline tumors confirmed by surgery and pathology. 3 cases underwent CT scan, 18 cases underwent MRI scan, of which 1 case underwent CT enhancement and 13 cases underwent MRI enhancement. Results Serous cystadenoma 15 cases 16 tumors, serous borderline tumors 6 cases 9 tumors. There was significant difference in age and lesion size between the two groups(P<0.05). Significant difference was also found in signal intensity between mural nodules and cysts. There was no significant difference in the location and internal structure of the lesion. Conclusion Non-unilocular serous cystadenoma occurs mostly at reproductive age, with fewer compartments. Long T1 and long T2 signals are predominant in the cysts, thin cystic walls, and slightly enhanced cystic walls and septations. Serous borderline tumors are more common in young and middle-aged women aged 30-50 years, with fewer compartments, short, slightly short or equal T1-long T2 signals in the cysts. Cystic wall nodules are more common, and cystic wall, wall nodules and septal enhancement are more common.
作者
魏梅
王劲
蔡吉勇
胡微
邵林
Wei Mei;Wang Jin;Cai Jiyong;HuWei;Shao Lin(Department of Radiology,Bishan People's Hospital,Chongqing,402760,China)
出处
《当代医学》
2020年第3期111-113,共3页
Contemporary Medicine
关键词
卵巢肿瘤
多房囊性病变
交界性肿瘤
浆液性囊腺瘤
Ovarian tumors
Multilocular cystic lesions
Borderline tumors
Serous cystadenoma
