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卵泡膜瘤-纤维瘤的MRI表现
引用本文:周 燕,谢洁林,钱慧君,韩志刚,张国福.卵泡膜瘤-纤维瘤的MRI表现[J].医疗装备,2014(6):28-30.
作者姓名:周 燕  谢洁林  钱慧君  韩志刚  张国福
作者单位:复旦大学附属妇产科医院放射科,上海200011
摘    要:目的:分析卵巢卵泡膜瘤-纤维瘤的MRI表现,探讨MRI的诊断价值。方法:42例经手术病理证实的卵泡膜瘤-纤维瘤患者,回顾性分析其MRI表现。结果:本组病例中包括卵泡膜细胞瘤2例,纤维瘤21例,卵泡膜纤维瘤19例,肿瘤边界清楚,多呈实性。纤维瘤T2WI呈低信号15例,低信号为主混杂信号6例;卵泡膜细胞瘤T2WI均呈稍高信号为主混杂信号;卵泡膜纤维瘤T2WI呈低信号2例,等信号或稍高信号为主的混杂信号17例;所有肿瘤T1WI均呈等信号或低信号;增强扫描后38例为轻度延迟强化,3例无明显强化,1例显著持续强化。结论:卵巢卵泡膜瘤-纤维瘤的MRI表现具有一定特征性,对于临床定性、定位诊断均有较高参考价值。

关 键 词:纤维瘤  卵泡膜纤维瘤  卵泡膜细胞瘤  磁共振成像

MR appearance of ovarian thecoma-fibromas
ZHOU Yan,XIE Jie-lin,QIAN Hui-jun,HAN Zhi-gang,ZHANG Guo-fu.MR appearance of ovarian thecoma-fibromas[J].Medical Equipment,2014(6):28-30.
Authors:ZHOU Yan  XIE Jie-lin  QIAN Hui-jun  HAN Zhi-gang  ZHANG Guo-fu
Institution:(Department of Radiology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai 200011 , China)
Abstract:ObjectiveTo analyze the MR appearance of ovarian thecoma -fibromas and investigate the diagnostic value of MRI.Methods: The MR images of 42 cases of ovarian thecoma -fibromas confirmed by histopathology were retrospectively analyzed.Results:There were 2 cases thecoma , 21 cases fibroma and 19 cases fibrothecoma of 42 patients.Tumors were solid with well -defined margins.On T2WI, fibromas showed hypo -intensity in 15 cases and mixed intensity in 6 cases, thecoma showed slight hyper -inten-sity, fibrothecoma showed hypo -intensity in 2 cases and mixed intensity in 17 cases.All tumors showed isointensity or hypo -in-tensity on T1WI.Slight enhancement was shown in 38 cases, no enhancement in 3 cases, marked enhancement in 1 case after injection of contrast medium.Conclusion:MRI findings of ovarian thecoma -fibromas are characteristic and have a higher reference value in clinical qualitation and positioning diagnosis.
Keywords:Fibroma  Fibrothecoma  Thecoma  Magnetic resonance imaging
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