摘要
子宫内膜癌(endometrial cancer,EC)的发病率和病死率在我国居女性生殖系统恶性肿瘤第2位,在美国居首位。近年由于高脂饮食和低运动量生活方式的影响,我国EC的发病率有所上升,发病人群逐渐年轻化。约90%的子宫内膜癌患者表现为不规则阴道流血流液,治疗以手术为主,辅以放化疗及激素治疗。虽然子宫内膜病理学检查是确诊子宫内膜癌的“金标准”,但是影像学检查可以术前了解子宫肌层浸润、子宫颈间质侵犯、淋巴结及远处转移等高危情况,从而帮助诊疗方案的制定,也可以进行放化疗疗效评估、术后监测和随访,从而提高患者预后。文章对CT、磁共振(MRI)、正电子发射计算机断层显像/磁共振显像(PET-CT/MRI)不同影像学检查在子宫内膜癌诊治中的应用及新进展进行阐述。
The incidence rate and mortality of endo⁃metrial cancer(EC)ranks second in female repro⁃ductive system malignancies in China and first in the United States.In recent years,due to the influence of high-fat diet and low exercise lifestyle,the incidence rate of EC in China has increased,and the population involved has gradually become younger.About 90%of endometrial cancer patients have irregular vaginal bleeding or fluid.The treatment is based on surgery,supplemented by radiotherapy,chemotherapy,and hormone therapy.Although endometrial pathology is the“gold standard”for the diagnosis of endometrial cancer,imaging examination can assess the high-risk situations such as myometrium invasion,cervical stromal invasion,lymph node and distant metastasis before surgery,which helps formulate the diagnosis and treatment plan.Imaging examination can also evaluate the efficacy of radiotherapy and chemotherapy,monitor and follow up patients after surgery,which is helpful in improving the prognosis of patients.Therefore,we aim to review the application and new progress of CT,MRI,PET-CT/MRI in the diagnosis and treatment of EC.
作者
林玲玲
程杰军
LIN Lingling;CHENG Jie-jun(Department of Radiology,Shanghai First Maternity and Infant Hospital,Shanghai 200126,China)
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2023年第11期1065-1070,共6页
Chinese Journal of Practical Gynecology and Obstetrics
基金
国家重点研发计划(SQ2022YFC2700201)
申康﹣联影联合科研发展计划医工结合项目(2022SKLY-12)
浦东新区妇产科医联体合作项目(PDYLT2022-20)
上海申康医院发展中心项目(SHDC22022310-A,SHDC22022310-B)
申康-联影联合科研发展计划医工结合项目(2022SKLY-12)。
