实性成分为主的卵巢浆液性囊腺癌的CT诊断

CT Diagnosis of Ovarian Serous Adenocarcinoma Mainly Composed of Solid Component

目的探讨CT对实性成分为主的卵巢浆液性囊腺癌(SCAC)的诊断价值。方法搜集并回顾性分析2009年6月至2013年6月本院临床病理确诊的31例实性成分≥50%的卵巢SCAC的CT影像资料。结果 31例实性成分为主的卵巢SCAC中,病理证实Ⅱc级8例,Ⅲ级23例;全部病灶均经CT检出。结论实性成分为主的卵巢SCAC虽然在术前很难做出具体诊断,但CT能够显示肿瘤的特点,对诊断实性成分为主的卵巢SCAC具有很大的价值。

Objective To evaluate CT scanning in diagnosing ovarian serous adenocarcinoma （SCAC） that is mainly composed of solid component. Methods A total of 31 patients with pathologically-proved ovarian SCAC containing ≥ 50% solid component, who were encountered at authors＇ hospital during the period from June 2009 to June 2013, were en- rolled in this study. The imaging materials were retrospectively analyzed. Results Of the 31 patients with ovarian SCAC, with the solid component being the main composition, pathologically-confirmed Ⅱc grade was seen in 8 and Ⅲ grade in 23. All lesions were detected by CT scanning. Conclusion Usually, it is very difficult before surgery to make precise diagno- sis of ovarian SCAC that is mainly composed of solid component, but CT scanning can display the characteristics of the le- sion, which are very helpful in making the diagnosis.