女性盆腔囊腺瘤(癌)多排螺旋CT诊断

目的探讨女性盆腔囊腺瘤(癌)多排螺旋CT表现与鉴别诊断。方法回顾性分析江苏省泗洪县人民医院经手术、病理证实的女性盆腔囊腺瘤(癌)28例多排螺旋CT影像特点。结果 28例患者,囊腺瘤19例,其中浆液性囊腺瘤12例,粘液性囊腺瘤7例。囊腺癌9例,其中浆液性囊腺癌6例,粘液性囊腺癌3例。术前囊腺瘤定位诊断正确11例,正确率57%,定性诊断正确15例,正确率78%。2例误诊为囊腺癌,2例误诊为巧克力囊肿。术前囊腺癌定位正确5例,定位诊断正确率55%,定性诊断正确7例,定性诊断正确率77%,误诊2例,1例误诊为腹膜后肿瘤,1例误诊为子宫内膜异位症。结论依据盆腔囊腺瘤(癌)多排螺旋CT表现,大部分病例能做出正确的定位、定性诊断,部分病例定位、定性诊断较困难。

Objective To explore the female pelvic cystadenoma （carcinoma） multi-slice spiral CT findings and differential diagnosis. Methods A retrospective analysis of multi-slice spiral CT impact features about 28 female pelvic cystadenoma （carcinoma） cases confirmed by surgery and pathology.Results 28 patients, cystadenoma 19 cases, including 12 cases of serous cystadenoma and 7 cases of mucinous cystadenoma. Cystadenocarcinoma 9 cases, including 6 cases of serous adenocarcinoma, and 3 cases of mucinous cystadenocarcinoma. 11 cases of correct preoperative topical diagnosis of cystadenoma,a correct rate of 57%, 15 cases of etiologic diagnosis of cystadenoma,a correct rate of 78%. Otherwise,2 cases misdiagnosed as cystic carcinoma, 2 cases misdiagnosed as chocolate cysts.5 cases of correct preoperative topical diagnosis of cystadenocarcinoma,a correct rate of 55%, 7 cases of etiologic diagnosis of cystadenocarcinoma,a correct rate of 77%.Otherwise, l case misdiagnosed as retroperitoneal tumor,1 case misdiagnosed as endometriosis.Conclusion Based on the multi-slice spiral CT findings of pelvic cystadenoma （carcinoma）, in most cases, a correct topical or etiologic diagnosis can be made,but in some cases ,it is difficult.