原发性腹膜浆液性乳头状腺癌的CT诊断价值

CT findings of primary peritoneal serous papillary carcinoma

目的研究原发性腹膜浆液性乳头状腺癌的CT表现,以提高对该病诊断水平。方法回顾性分析经临床、手术及病理证实的17例腹膜原发性浆液性乳头状腺癌患者的CT影像资料。结果腹水患者15例,多为中量、大量腹水;腹膜、腹腔多发肿块和/或结节13例,其中肿块并明显钙化2例;大网膜饼状增厚患者12例;腹膜大片状增厚患者7例;卵巢正常大小患者4例;腹膜后淋巴结稍增大患者1例,右腹股沟淋巴结增大患者1例。结论原发性腹膜浆液性乳头状腺癌CT表现具有一定特征性,了解这些特征有助于腹膜原发浆液性乳头状腺癌的诊断及鉴别诊断。

Objective To investigate CT manifestations of primary peritoneal serous papillary carcinoma and to improve the knowledge of the disease. Methods Retrospective analysis of CT image data with 17 cases of primary peritoneal serous papillary carcinoma confirmed by clinic, surgery and pathology. Results There were 15 cases showed ascites and mostly with medium or massive ascites. Thirteen cases have multiple peritoneal and abdominalmasses/ nodules, 2 cases of them showed obvious calcification of masses. 12 cases showed caky thickening of omentum. A wide range of peritoneal thickened with seven cases, 4 cases showed normal size ovarian. Retroperitoneal lymph nodes slightly enlarged with one case, the right inguinal lymph node enlarged with one case. Conclusions CT manifestation of primary peritoneal serous papillary carcinoma showed certain characteristics, the comprehension of it contribute to the diagnosis and antidiastole of this disease.