8例卵巢透明细胞癌CT影像学表现分析

目的观察8例卵巢透明细胞癌患者CT影像学表现特点,并探讨CT在卵巢透明细胞癌患者中的诊断价值。方法回顾性分析2009年2月-2015年1月我院肿瘤外科收治经手术病理证实的8例卵巢透明细胞癌患者的临床资料,所有病例患者均行CT影像学检查,对所有病例患者CT影像学临床资料进行分析,以评估CT在卵巢透明细胞癌患者中的诊断价值。结果 8例病例患者中,3例左侧发生,5例右侧发生;临床病理分期Ⅰ期、Ⅱ期、Ⅲ期例数分别为5例、2例、1例;8例患者均表现为以囊性成分为主的肿块,左侧3各,右侧5各,直径7-11cm,瘤体以圆形或椭圆形为主,边缘光滑,境界清晰,且无钙化情况,其中单房6例,多房2例,囊液密度均匀,囊性部分的最低CT值15-30HU;CT增强扫描显示,囊性成分未见明确强化,边界显示清晰;病例患者病理表现:肿瘤切面多呈囊实性,以囊性为主,坏死5例,出血2例,浆液成分1例,实性切面以鱼肉样或淡黄色为主要表现。结论 CT影像检查对卵巢透明细胞癌具有一定特征性,对其具有一定诊断价值,但缺乏特异性,临床确诊过程中仍需借助于组织病理学检查。

8 Cases of Ovarian Clear Cell Carcinoma CT Imaging Performance Analysis

Objective to observe the 8 cases of ovarian clear cell carcinoma patients with CT characteristic imaging findings, and to explore diagnostic value of CT in ovarian clear cell carcinoma patients.Methods A retrospective analysis in February 2009, in January 2015, our hospital surgical oncology were confirmed by surgical pathology of the clinical data of 8 cases of ovarian clear cell carcinoma, all cases of patients were performed CT imaging examination, CT imaging in patients with all cases clinical data were analyzed, and to assess the diagnostic value of CT in ovarian clear cell carcinoma patients.Results 8 cases patients, 3 cases on the left, 5 cases of right. Clinical pathologic stage Ⅰ stage, Ⅱ, Ⅲ cases respectively in 5 cases, 2 cases, 1 case. 8 patients were predominantly cystic component lump, the left 3 each, on the right side of the 5, 7, 11 cm in diameter, tumors is given priority to with round or oval, edge is smooth, clear, and without calcification, among them 6 cases, single room room in 2 cases, more uniform fluid density, cystic part of minimum 15-30 hu CT value. CT enhanced scan showed cystic components did not see the clear reinforcement, border shows clear; Cases of patients with pathological manifestations: how saccate or solid neoplasm, predominantly cystic, necrosis in 5 cases, hemorrhage in 2 cases, composition of slurry in 1 case, solid edge fish specimens or pale yellow as the main performance.Conclusion CT imaging of ovarian clear cell carcinoma has a certain characteristic, has certain diagnostic value to its, but the lack of specificity, still need to be in the process of clinical diagnosis by histopathological examination.