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妊娠滋养细胞疾病的MRI表现
引用本文:陈瑞莹,许乙凯,吴元魁.妊娠滋养细胞疾病的MRI表现[J].临床放射学杂志,2011,30(2).
作者姓名:陈瑞莹  许乙凯  吴元魁
作者单位:南方医科大学附属南方医院影像中心,广州,510515
摘    要:目的探讨妊娠滋养细胞疾病(gestational trophoblastic disease,GTD)的MRI表现特征。资料与方法回顾性分析23例经临床或病理诊断为GTD患者的MRI表现。结果 23例中,子宫腔内肿块形态似蜂窝状或葡萄状者13例。肿块内出血6例,肿块边界较清楚3例,侵犯肌层致子宫内膜不连续或位于肌层内18例。增强扫描仅分隔强化2例,既有杂乱分隔的强化又有实性部分强化者11例,囊性部分中央可见多发不规则片状明显强化3例,似血湖状;包膜较完整位于宫腔内3例,包膜不完整15例,子宫肌层内可见多发增粗迂曲的流空血管9例,盆腔两侧可见多发粗大迂曲的血管13例,盆腔积液1例。结论 GTD在MRI上具有特征性表现,结合临床病史及实验室检查可以作出诊断,并可在早期提示肿块的良恶性。

关 键 词:妊娠滋养细胞疾病  磁共振成像  

MR Findings of Gestational Trophoblastic Disease
CHEN Ruiying,XU Yikai,WU Yuankui.MR Findings of Gestational Trophoblastic Disease[J].Journal of Clinical Radiology,2011,30(2).
Authors:CHEN Ruiying  XU Yikai  WU Yuankui
Institution:CHEN Ruiying,XU Yikai,WU Yuankui Medical Imaging Center,the Affiliated Nanfang Hospital of Nanfang Medical Univesity,Guangzhou,Guangdong Province 510515,P.R.China
Abstract:Objective To investigate MR findings of gestational trophoblastic disease (GTD).Materials and Methods MR findings of 23 cases with gestational trophoblastic disease dignosed by clincal or pathological resulits were analyzed retrospectively.Results 23 gestational trophoblastic disease were found on MRI.13 cases showed a tumor as honeycomb or botryoidalis in the cavity of uterus.Hemorrhage signal was observed in 5 tumors,2 cases showed clear edge,18 tumors encroachmented myometrium or located in the myometriu...
Keywords:Gestational trophoblastic disease Magnetic resonance imaging  
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