卵巢性索-间质肿瘤的MRI表现.docVIP

卵巢性索-间质肿瘤的MR表现 李娴1 朱来敏2 孙新海2 翟宁2 李美芹2 胡喜斌2 （1.济宁医学院医学影像系 山东 济宁 272067；2. 济宁医学院附属医院磁共振室 山东 济宁 272029） 【摘要】目的:探讨卵巢性索-间质肿瘤的MR表现。方法:回顾性分析经手术和病理证实的31例卵巢性索一间质肿瘤的MRI资料。结果: 31例性索-间质肿瘤包括卵泡膜细胞瘤9例、卵泡膜-纤维瘤14例，粒层细胞瘤6例，支持-间质细胞瘤2例。卵泡膜细胞瘤、卵泡膜-纤维瘤中，19例（82.61%）为实性，其中76.19%的肿瘤T2WI呈明显低信号，23.81%T2WI呈稍高信号，病灶内均可见斑片状、裂隙状、云絮状高信号影；3例（13.04%）呈囊实性病变，其中2例实性成分T1WI及T2WI均呈低信号；1例T2WI呈等、略高信号；1例（4.35%）为完全囊性病灶，T1WI及T2WI均呈高低混杂信号。4例颗粒细胞瘤，MRI均表现为囊实性肿块，肿瘤内可见大小不等的多囊状改变，囊内可见厚薄不一的分隔，增强扫描囊壁及实性部分均持续明显强化；2例支持-间质细胞瘤，囊实性混杂肿块，T1WI及T2WI均呈高低混杂信号，增强扫描后实性成分及分隔明显强化。结论：卵巢性索间质肿瘤MR表现多样，但各种肿瘤有其特征性表现。 关键词：卵巢;性索;肿瘤;磁共振成像 中图分类号:R445.2 MRI Findings of Sex Cord-Stromal Tumor of the Ovary LI Xian1,ZHU Laimin2,SUN Xinhai2,ZAI Ning2,LI Meiqin2,HU Xibin2 Department of Radiology, the Jining Medical College Shandong Province, 272067,R.P .Chian Department of Radiology ,the Affiliated Hospital of Jining Medical College Shandong Province,272029,R.P .Chian 【Abstract】Object: To investigate the magnetic resonance imaging (MRI) characteristics of ovarian Sex Cord–Stromal Tumor.Methods: The MRI findings of 31 cases of SCST were reviewed retrospectively. Results: 31 cases of SCST were composed of 9 cases theca cell tumor ,14 cases fibrothecoma，4 cases granulosa cell tumors and 2 case Sertoli–Leydig cell tumors.In theca cell tumor and fibrothecomasolid ,19 cases were solid,76.19% case were very low signal ,as well as 23.81% appeared slight high signal on T2WI,all cases can see degenaration in the tumor;3 case were solid and cystic leision,2 case show low signal on T2WI,1 is slight iso-intense to hypointense on T2WI ;1 is complete cystic ,which is hetergeneous on both T1WI and T2WI. In four ovarian granulosa cell tumor, the lesion presented as mixed cystic-solid mass, after contrast administration marked enhancement of solid components in tumor was revealed. Two sertoli leydig cell tumors also presents mixed cystic-solid mass,after contrast ,the solid elements and septa have enhancement.Conclusions: SCST demonstrate variable MRI