卵巢恶性肿瘤MRI诊断分析及误诊原因探究

Analysis of MRI Diagnosis and Misdiagnosis of Ovarian Malignant Tumor

目的:分析卵巢恶性肿瘤MRI诊断分析及误诊原因。方法:选取2013年3月-2017年3月在本院经手术病理证实患卵巢恶性肿瘤的患者40例,对其作MRI平扫增强,回顾性分析MRI诊断特征、误诊原因。结果:卵恶性肿瘤MRI表现为形态不规则、肿块体积增大,和周边组织结构分界不清;肿块质地分布不均:9例伴囊性肿块、9例实性肿块、22例囊实性肿块,予以增强扫描后结果显示,于实性区、壁结节、囊壁等处增强变化均明显;3例淋巴瘤误诊为无性细胞瘤;2例转移瘤误诊为腺纤维瘤。结论:临床经分析病理种类不同的卵巢性肿瘤MRI诊断特点,均表现出相似之处,为此,临床对卵巢恶性肿瘤患者作诊治时,需充分明确了解肿瘤表现特征。

Objective：To analyze MRI diagnosis and misdiagnosis of ovarian malignant tumor.Method：From March 2013 to March 2017,40 patients with ovarian malignant tumors treated in our hospital were selected,and MRI imaging was performed,the diagnostic features and misdiagnosis reason were analyzed retrospectively.Result：The MRI of the malignant tumor showed tumor morphology was irregular,the volume of the tumor was increased,and surrounding tissue structure was not clear.Bump texture maldistribution：there were 9 cases with cystic masses,9 cases solid tumors,22 cases of cystic or solid mass,strengthen scanning showed significantly enhanced change on the solid area,wall nodule,capsule wall were;3 cases of lymphoma were misdiagnosed as asexual cell tumor;2 metastatic tumors were misdiagnosed as adenofibroma.Conclusion：AnalysisMRI diagnosis characteristics of clinical different pathologic types ovarian tumors have similarities,therefore,fully clear understanding of tumor performance characteristics is needed in the clinic diagnosis and treatment for patients with ovarian malignant tumor.