磁共振成像在转移性卵巢肿瘤的应用现状.pdfVIP

综述 -190 - SUMMARY 磁共振成像在转移性卵巢肿瘤的应用现状 马凤华 强金伟 [摘要]MRI凭借多方位成像和良好的组织对比度，在评价卵巢肿瘤的良恶性时具有重要的诊断价值。然而，鉴 别原发卵巢恶性肿瘤 (POMT) 和转移瘤 (MOT) 的特异性MRI征象尚未见报道。 MOT占所有卵巢恶性肿瘤 的10%-30% ，与POMT在影像及病理上非常相似，两者的鉴别很困难。不同原发肿瘤的MOT有各自特征，如 Krukenberg瘤典型表现为双侧、实性、 T2WLI:非均质信号的肿块g 结肠癌的MOT常为双侧、伴不同大小实性成 分的囊性肿瘤g 源自阑尾的MOT常为双侧卵巢军占液性肿瘤，伴腹膜假性黠液瘤。近年来功能成像如扩散加权成 像 (DWI) 、灌注加权成像 (PWI)及磁共振波谱 (MRS) 的发展和应用，使MRI在卵巢肿瘤的鉴别诊断、预后及 疗效评价等方面发挥越来越重要的作用。 [关键词]卵巢肿瘤，转移，磁共振成像 中圄分类号: R445.2 文献标识码:B 文章编号: 1006 - 5741 (2015) - 02 - 0190 -03 Application of MRI in Metastatic Ovarian Tumors MA Feng-hua , QIANG Jin-wei [ Abstract ] MRI provides exquisite views of the pelvic anatomy through its high spatial resolution and tissue contrast , and plays a key role in distinguishing malignant from benign tumors. However, there are no highly specific radiological features that differentiate primary from metastatic ovarian masses (MOT). MOTs account for 10-30% of the total malignant ovarian tumors , and there is an overlap in the imaging appearances of prima- ry ovarian malignant tumors (POMT) and MOT, which causes a diagnostic challenge for radiologists. MOT of different primary site have their own characteristics. Krukenberg tumors are typically bilateral , lobulated , and solid tumors. MOT from colon cancer show a bilateral and predominantly cystic masses with smooth margin , c10sely resembling the appearance of primary ovarian mucinous tumors. Ovarian involvement by appendiceal tumors is frequently bilateral ovarian mucinous tumors with pseudomyxoma p