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卵巢卵泡膜细胞瘤的MRI诊断及鉴别诊断
引用本文:郑少燕,曾向廷,吴先衡,张奕伟,林斯宏.卵巢卵泡膜细胞瘤的MRI诊断及鉴别诊断[J].影像诊断与介入放射学,2014(2):117-120.
作者姓名:郑少燕  曾向廷  吴先衡  张奕伟  林斯宏
作者单位:汕头市中心医院磁共振室, 广东汕头515031
摘    要:目的分析卵巢卵泡膜细胞瘤的MRI特征并与病理结果进行对照,旨在提高对卵巢卵泡膜细胞瘤的诊断水平。方法回顾性分析13例卵泡膜细胞瘤的临床、影像、病理资料。结果 13例共16个病灶(单发10例,双侧3例)。肿瘤为圆形或卵圆形或分叶状的实性肿块,T_2WI呈低信号为主,代表富含成纤维母细胞成分的区域,其内不同程度长T_2水肿、囊变区。增强扫描肿瘤呈轻~中度渐进性强化,肿瘤由卵巢动脉供血。结论卵巢卵泡膜细胞瘤MRI表现能反应肿瘤起源及其病理特征,对本病诊断及鉴别诊断有重要价值。

关 键 词:卵巢  性索间质肿瘤  卵泡膜细胞瘤  磁共振成像

MRI diagnosis of ovarian thecoma
ZHENG Shao-yan,ZENG Xiang-ting,WU Xian-heng,ZHANG Yi-wei,LIN Si-hong.MRI diagnosis of ovarian thecoma[J].Journal of Diagnostic Imaging & Interventional Radiology,2014(2):117-120.
Authors:ZHENG Shao-yan  ZENG Xiang-ting  WU Xian-heng  ZHANG Yi-wei  LIN Si-hong
Institution:(MRDivision, Shantou Central Hospital, Guangdong 515031, China)
Abstract:Objective To correlate the MRI findings of ovarian thecoma with pathology.Methods The clinical features and MRI appearance of 13 patients with 16 ovarian thecomas were reviewed and correlated with pathology.Results Most of the tumors were round or oval,less often lobulated.T2 hypointense areas corresponded to abundant fibroblasts in the tumors with scattered T2 hyperintense areas representing edema or cystic degeneration.The tumors were supplied by ovarian arteries with slight or moderate progressive contrast enhancement.Conclusion The MRI appearance aids in the diagnosis of ovarian thecoma.
Keywords:Ovary  Sex cord-stromal tumor  Thecoma  Magnetic resonance imaging
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