原发性输卵管癌的磁共振征象分析.pdfVIP

腹部影像学 ABDOMlNACIMAGING 原发性输卵管癌的磁共振征象分析 章梦薇 康林英 田晓梅 张鹤 王士甲 谷守欣 张国福 【摘要】目的：探讨原发性输卵管癌(PFTc)的MRI影像特征。方法：回顾性分析15例经手术及病理证实的原发性 输卵管癌的临床资料和MRI表现，总结其MRI影像特征。结果：病灶表现为附件区肿块，单侧14例，双侧1例。9 例为囊实性肿块，其中6例肿块呈腊肠形，3例呈不规则形；5例伴不同程度输卵管积水；8例囊性成分于T1wI呈 匀高信号。4例为实性肿块，其中2例呈腊肠形，1例呈卵圆形，l例呈不规则形；呈T1wI低信号、T2wI稍高信号。 2例为管状囊性肿块伴管壁乳头状软组织结节，囊液呈TlwI低信号、T2wl高信号，管壁结节呈TlwI稍低信号、 T2wI稍高信号。增强后各种实性成分呈明显不均匀强化。伴腹水5例、直肠转移性肿块l例。结论：附件区腊肠形 囊实性肿块伴输卵管积水或腊肠形实性肿块是输卯管癌较具特征性的MRI征象。 【关键词】输卵管；原发性输卵管癌；磁共振成像 中图分类号：R814．41文献标志码：A文章编号：1006．5741(2014)一04—0344—04 MRFeaturesof Carcinoma PrimaryFa¨opian]rube ZHANG Xiao—mei，ZHANGShi-jia Meng—wei，KANGLin—ying，TIAN He，WANG GUShou—xin．ZHANGGuo—fu MR characteristicsof tube analyzeimaging primaryfallopiancarcinoma(PFTc)． 【Abstract】Purpose：Tb clinicalmanifestationsandMR of15 withPFTCconfirmed Methods：The imagingfindingspatients by and were theMR characteristicsweresummarized． surgerypathologyanalyzedretrospectiVely，andimaging masseswerenotedinall withPFTChadunilateraladnexalmasses Results：Adnexal patients，14patients and1 hadbilateral andsolidmasseswere in9 themasseswere patient masses．Cystic displayedpatients，and in6 in3 caseswerein with of cases；5 sausage-shapedcases，irregularshaped companyhydrosalpinx．Ineight thenine were On MR and