小儿盆腔生殖细胞瘤的CT诊断价值

Diagnostic value of CT in pelvic germinoma of children

目的:分析小儿盆腔生殖细胞瘤的CT表现及其诊断价值。方法:40例盆腔生殖细胞瘤中,女29例,男11例,年龄生后2小时至11岁。均行CT平扫,其中23例同时行CT增强扫描。结果:术前诊断40例,其中,误诊2例。本组良性33例,占82.5%;恶性7例,占17.5%。结论:CT检查为小儿盆腔生殖细胞瘤的首选方法,CT结合超声检查可以进一步提高术前诊断准确率。

Objective： To summarize the finding of CT in children pelvic germinoma and to investigate the diagnostic value of CT in pathogenesis for germinoma. Methods：CT scans were performed in 40 patients （twenty nine girls, eleven boys）, 23 cases were examined by intensify CT scans simultaneously. Age ranged from 2 hours to 11 years （ mean 4.5 years）. Results： Pelvic germinuma were diagnose in 40 eases, but 2 cases were misdiagnosis. 33 cases show benign tumor on CT images. The remaining 7 cases had abnormal findings in our literature series, 7ceses showed malignant tumor. Conclusion： CT examination has significant diagnostic value for pelvic germinuma in children; the accuracy diagnosis of pelvic germinoma was confirmed by CT evaluation and ultrasound scan.