子宫恶性肿瘤的MRI诊断(罗娅红).pptxVIP

子宫恶性肿瘤的MRI诊断 MRI of Uterine Malignant Neoplasm辽宁省肿瘤医院医学影像科 Medical Image Department,Liaoning Cancer Institute and Hospital 罗娅红 Yahong LuoLiaoning Cancer Institute and Hospital2009-8-7 子宫恶性肿瘤的流行病学现状 Epidemiology of Uterine Malignant Neoplasm子宫恶性肿瘤包括子宫颈癌、子宫内膜癌、滋养细 胞恶性肿瘤、子宫肉瘤等Uterine malignant neoplasm includes cervical carcinoma, endometrial carcinoma, uterine sarcoma and malignant trophoblastic tumor, etc.Liaoning Cancer Institute and Hospital2009-8-72 子宫颈癌Cervical Carcinoma全球妇女恶性肿瘤发病率的第三位 The No. 3 female malignant tumor in the world我国妇科恶性肿瘤发病率的前两位 The top two common female cancer in China女性恶性肿瘤死亡率的第二位 The second mortality in female malignant tumor in China每年约有3万名妇女死于宫颈癌 About 30,000 females diednnnnLiaoning Cancer Institute and Hospital2009-8-73 子宫内膜癌Endometrial carcinoma全球妇女恶性肿瘤发病率的第四位The fourth most common female cancer in the world每年的平均病例数是30 年前的40 倍之多The yearly average number of endometrial carcinoma is nearlyfourty times as much as those 30 years ago随着我国妇女内分泌代谢性疾病的增加，子宫内膜癌呈对数速度增长With endocrinopathy morbidity rising, the number of endometrialcarcinoma is increasing according to logarithm fashionnnnLiaoning Cancer Institute and Hospital2009-8-74 子宫肉瘤Uterine sarcoma占子宫恶性肿瘤的2 % – 4 % Accounting for 2 – 4 % of all uterine malignancies占生殖道恶性肿瘤的1% Accounting for 1% of all malignancies in female reproductive tract临床罕见、恶性程度较高 A very rare and high malignancy in female reproductive tractnnnLiaoning Cancer Institute and Hospital2009-8-75子宫恶性肿瘤的临床检查方法 Clinical examination of uterine malignant neoplasmLiaoning Cancer Institute and Hospital2009-8-76 临床检查 Clinical examinationp普通妇科检查：简单，但具有明显的局限性 Gynecological examination : simple limitedp分期具有主观性：34％－39％的患者分期错误 Subjectivity on its staging: 34%-39% of incorrect stagingp不能全面评价肿瘤侵犯深度和盆腔淋巴结转移 Difficult to identify invasive extent and lymph node metastasesLiaoning Cancer Institute and Hospital2009-8-77 临床检查-细胞学检查Clinical examination-Exfoliative cytologic examination n检测来源于子宫内膜、子宫颈的恶性细胞 Finding malignant cells from cervix and uteri