卵巢krukenberg瘤的高场磁共振诊断

MR Diagnosis of Krukenberg's Tumor

目的分析krukenberg瘤的MR表现,以期提高临床诊断的准确性。方法回顾性分析13例经临床及手术病理证实的Krukenberg’s瘤的MR表现。结果 13例krukenberg瘤共发现22例病灶,发生于双侧卵巢9例,单侧卵巢4例。22个病灶中有实性12个,囊实性7个,多房囊性3个,增强扫描病灶实性部分明显强化。结论 Krukenberg瘤有其特珠临床特点,易漏诊、误诊,若双侧卵巢出现实性、囊实性及多房囊性的病灶应想到Krukenberg瘤的可能,尤其肿块出现明显强化且胃肠道有原发病灶。

Objective To analyze tile MR findings of Krukenberg＇ s tmnor, so as to improve the diagnosis accuracy. Methods MR findings of 13 cases with Krukenberg＇ s tumor by clinical manifestation and pathology were analyzed. Res///tsA total of 22 lesionswere found on MR scans in 13 case. Of 13 cases, the lesions were bilateral in 9 cases and unilateral in 9 cases. Including solid in 12, mixed in 7 and multilocular cystic 3. The intratumorous displays marked enhancement on MR scan. Conclusion Krukenberg minor has specific clinical characteristics and is hard to dia^mosis before operation. Kmkenberg＇ s tumor should be suspectedwhen the patient shows solid or mixed or mulfilocular cystic lesions in bilateral ovarie, especially when tile intramnu^rous displays marked enhancement on MR scan and Tile primary lesions in the gastrointestinal tract.