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浙江大学学报（医学版）
浙江大学学报（医学版）  2017, Vol. 46 Issue (5): 546-551    DOI: 10.3785/j.issn.1008-9292.2017.10.15
原著     
CT在诊断卵巢转移性肿瘤病理类型和转移灶来源中的应用价值
卞巍1,2, 姚远2, 张海金2, 叶孝乾3, 张敏鸣1
1. 浙江大学医学院附属第二医院放射科, 浙江 杭州 310009;
2. 嘉兴市妇幼保健院放射科, 浙江 嘉兴 314051;
3. 武警浙江总队嘉兴医院病理科, 浙江 嘉兴 314033
Application of CT scan in diagnosis of pathological type and origin of metastatic ovarian tumors
BIAN Wei1,2, YAO Yuan2, ZHANG Haijin2, YE Xiaoqian3, ZHANG Minming1
1. Department of Radiology, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China;
2. Department of Radiology, Jiaxing Hospital of Maternity and Child Health, Jiaxing 314051, Zhejiang Province, China;
3. Department of Pathology, Jiaxing Hospital of Zhejiang General Corps of Armed Police Forces, Jiaxing 314033, Zhejiang Province, China
 全文: PDF(979 KB)  
摘要：

目的：探讨CT表现与胃及结直肠来源卵巢转移性肿瘤病理类型和肿瘤来源之间的相关性，分析并评估其诊断价值。方法：对经病理学检查证实的43例胃和结直肠来源的卵巢转移性肿瘤患者的临床资料、病理学检查结果和CT影像学资料进行回顾性分析，评估CT表现对卵巢转移性肿瘤的病理类型和肿瘤来源的诊断价值。结果：卵巢转移性肿瘤的病理类型与转移灶大小相关（P<0.01），而与转移灶部位（单双侧）、囊实性和囊性及混合性转移灶有无分隔无关（均P>0.05）。对照两种不同组织来源转移瘤的CT表现，其中结直肠来源的转移灶多为单侧发病，病变多为囊性或以囊性为主的囊实性；胃来源的转移灶多为双侧发病，且病变多为实性或以实性为主的囊实性。结论：CT表现对卵巢转移性肿瘤的病理类型和转移灶来源的判断有一定的参考价值。
关键词： 肿瘤转移;  卵巢肿瘤/病理学;  卵巢肿瘤/放射摄影术;  卵巢肿瘤/继发性;  体层摄影术,X线计算机    
Abstract:

Objective: To evaluate the application of CT scan in diagnosis of pathological types and origins of metastatic ovarian tumors.Methods: Clinical data, histopathological results and CT images of 43 patients with pathologically-proved metastatic ovarian tumor were retrospectively analyzed. Diagnostic values of CT imaging for pathological type and origin of metastatic ovarian tumors were evaluated.Results: The pathological types of metastatic ovarian tumor were related to the size of the lesion (P<0.01), while not related to the sites of lesion (unilateral or bilateral), the cystic-solid and mixed lesions with or without separation (all P>0.05). Metastatic ovarian tumors of colorectal origin were usually unilateral lesions, and showed cystic or cystic-solid masses, while those of gastric origin were usually bilateral lesions, and showed solid or solid-based masses.Conclusion: CT imaging may be of value in diagnosis of pathological types and origin of metastatic ovarian tumor.
Key words: Ovarian neoplasms/pathology    Ovarian neoplasms/radiography    Tomography,X-ray computed    Ovarian neoplasms/secondary    Neoplasm metastasis
收稿日期: 2017-04-21 出版日期: 2017-10-25
CLC:  R814.42  
基金资助:

浙江省医药卫生科技计划（2017205359）；国家重点研发计划（2016YFC13066）；国家卫生和计划生育委员会科研基金（2016149022）；国家自然科学基金（8157165）
通讯作者: 张敏鸣(1957-),女,博士,教授,主任医师,博士生导师,主要从事神经退行性疾病的多模态影像和肿瘤精准影像学研究;E-mail:zhangminming@zju.edu.cn;http://orcid.org/0000-0003-0145-7558     E-mail: zhangminming@zju.edu.cn
作者简介: 卞巍(1983-),女,硕士研究生,主治医师,主要从事放射学诊断研究;E-mail:13656609369@163.com;https://orcid.org/0000-0001-9590-7649
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引用本文:

卞巍 等. CT在诊断卵巢转移性肿瘤病理类型和转移灶来源中的应用价值[J]. 浙江大学学报（医学版）, 2017, 46(5): 546-551.

BIAN Wei, YAO Yuan, ZHANG Haijin, YE Xiaoqian, ZHANG Minming. Application of CT scan in diagnosis of pathological type and origin of metastatic ovarian tumors. Journal of ZheJiang University(Medical Science), 2017, 46(5): 546-551.

链接本文:

http://www.zjujournals.com/xueshu/med/CN/10.3785/j.issn.1008-9292.2017.10.15    或    http://www.zjujournals.com/xueshu/med/CN/Y2017/V46/I5/546

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