期刊文献+

子宫内膜间质肉瘤的MRI表现(附8例报告) 被引量:2

MRI Findings of Endometrial Stromal Sarcomas: 8 Cases Report
下载PDF
导出
摘要 目的分析子宫内膜间质肉瘤的MRI特点,提高该病的诊断水平。方法回顾性分析我院经手术病理证实的子宫内膜间质肉瘤8例,讨论其MRI表现。结果宫腔内息肉生长型2例,其中1例穿透子宫壁全层种植于腹盆腔肠管表面;肌层肿块型1例;肌层浸润型3例;盆腔肿块型2例、均为肌瘤术后病例,其中1例伴子宫肌层结节。实性肿瘤7例、2例伴坏死,囊实性肿瘤1例。肿瘤的实性成分在MRI的T1WI多呈等信号,T2WI多呈稍高信号,DWI信号明显增高,增强扫描强化明显。结论子宫内膜间质肉瘤MR表现可分为四种类型:息肉生长型、肌层肿块型、肌层浸润生长型、盆腔肿块型;大多为实性肿块。当看到MR上有上述表现,特别是有浸润性生长表现,同时实性成分于DWI上信号明显增高、增强扫描明显强化的病例,应考虑子宫内膜间质肉瘤的可能。 Objective To summarize the magnetic resonance imaging(MRI) features of endometrial stromal sarcomas and improve the diagnosis. Methods MRI findings of 8 cases of my hospital proved by pathology, discuss the imaging(MRI) findings. Results 2 cases were polypoid mass, 1 of these penetrated the wall of uterus and planted the surface of intestines in abdominal and pelvic cavity, 1 case was intramural mass;3cases was diffuse myometrial; 2 cases were huge pelvic mass,which both had a history of leiomyoma of uterus incision,1 of these with mural nodules.7 cases solid mass,2 of 5 with necrosis;1 case solid-cystic mass.On MRI images, the signal intensity of the solid component of mass was often iso-intense on T1-weighted images(T1WI) and little yperintensity on T2-weighted images(T2WI)and much hyperintensity on diffuse images(DWI),which enhanced obviously after the administration of the contrast medium. Conclusion The magnetic resonance imaging(MRI) findings of endometrial stromal sarcoma present 4 pattererns: polypoid mass in,intramural mass,diffuse myometrial,huge pelvic mass. Most of endometrial stromal sarcomas are solidmass.When finding the imaging of above-menttioned,expecially with infiltrated developing, and the the solid components on diffuse images were much hyperintensity and enhanced obviously, may sugest thediagnosis of uterine endometrial stromal sarcoma.
出处 《罕少疾病杂志》 2016年第2期30-32,36,共4页 Journal of Rare and Uncommon Diseases
关键词 子宫内膜间质肉瘤 磁共振成像(MRI) Endometrial Stromal Sarcomas Magnetic Resonance Imaging
  • 相关文献

参考文献9

二级参考文献52

  • 1张素艳,桑雅荣,赵宏宇,姜羽,姜文祥.子宫腺肌病的MRI诊断[J].中国CT和MRI杂志,2005,3(2):49-51. 被引量:10
  • 2张晓飞,陈晓端.卵巢子宫内膜样间质肉瘤[J].临床与实验病理学杂志,2005,21(4):488-489. 被引量:4
  • 3连利娟 林巧稚.妇科肿瘤学:第三版[M].北京:人民卫生出版社,2000.390-400.
  • 4Koss LO, Spiro RH, Brunschring A. Endometrial stromal sarcoma. Surg Gynecol Obstet 1965; 121:531 7.
  • 5Farah-Klibi F, Ben Hamouda S, Ben Romdhane S, et al. Immunohistochemical study of endometrial stromal sarcoma and smooth-muscle tumors of the uterus. J Gynecol Obstet Biol Reprod (Paris). 2008 Sep;37(5):457-62. Epub 2008 Jun 18.
  • 6HendricksonMR, of the uterine gynaecological Edinburgh, pp Kempson RL (1987) Pure mesenchymal neoplasm corpus. In: Fox H (ed) Obstetrical and pathology, 3rd edn. Churchill Livingstone, 411 ± 456.
  • 7Tamai K, Koyama T, Saga T, et al. The utility of diffusionweighted MR imaging for differentiating uterine sarcomas from benign leiomyomas. Eur Radiol. 2008 Apr;18(4):723- 30. Epub 2007 Oct 10.
  • 8La Fianza A, Meloni G, Alberici E, et al. Magnetic resonance appearance of endometrial sarcoma: report of a case withunusual findings. Magn Reson Imaging. 1999 May;17(4): 637-40.
  • 9Hayasaka K, Morita K, Saitoh T ,et al. Uterine adenofibroma and endometrial stromal sarcoma associated with tamoxifen therapy: MR findings. Comput Med Imaging 6raph. 2006 Jul; 30(5): 315-8. Epub 2006 Aug 4.
  • 10Gandolfo N, Gandolfo NG, Serafini G, et al. Endometrial stromal sarcoma of the uterus: MR and US findings. Eur Radiol. 2000;10(5):776-9.

共引文献36

同被引文献9

引证文献2

二级引证文献14

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部