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| 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 |
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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.
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Received: 21 April 2017
Published: 25 October 2017
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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
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
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| [[1]] |
ASOTRA S, SHARMA J, SHARMA N. Metastatic ovarian tumor[J]. J Cytol,2009,26(4):144-145.
|
|
|
| [[2]] |
马振敕,张汝鹏,薛强,等.110例胃癌卵巢转移瘤的预后因素分析[J].中华胃肠外科杂志,2016,19(3):287-291. MA Zhenchi, ZHANG Rupeng, XUE Qiang, et al. Analysis of prognostic factors of 110 patients with metastatic ovarian tumors from gastric cancer[J]. Chinese Journal of Gastrointestinal Surgery,2016,19(3):287-291. (in Chinese)
|
|
|
| [[3]] |
许玲辉,王玖华,沙炎,等.转移性卵巢肿瘤的CT诊断[J].临床放射学杂志,2003,22(10):852-855. XU Linghui, WANG Jiuhua, SHA Yan, et al. CT diagnosis of ovarian metastatic tumors[J]. Journal of Clinical Radiology,2003,22(10):852-855. (in Chinese)
|
|
|
| [[4]] |
李海明,强金伟,赵书会,等.磁共振成像诊断卵巢转移瘤的价值[J].中国临床医学影像杂志,2014,25(8):574-578. LI Haiming, QIANG Jinwei, ZHAO Shuhui, et al. The value of MRI in the diagnosis of metastatic ovarian tumors[J]. Journal of China Clinic Medical Imaging,2014,25(8):574-578. (in Chinese)
|
|
|
| [[5]] |
常亮,王长福,张和平,等.卵巢krukenberg瘤的高场磁共振诊断[J].中国CT和MRI杂志,2013,11(6):85-87. CHANG Liang, WANG Changfu, ZHANG Heping, et al. MR diagnosis of Krukenberg's tumor[J]. Chinese Journal of CT and MRI,2013,11(6):85-87. (in Chinese)
|
|
|
| [[6]] |
BROWN D L, ZOU K H, TEMPANYC M, et al. Primary versus secondary ovarian malignancy:imaging findings of adnexal masses in the Radiology Diagnostic Oncology Group Study[J]. Radiology,2001,219(1):213-218.
|
|
|
| [[7]] |
GUZEL A B, GULEC U K, PAYDAS S, et al. Preoperative evaluation, clinical characteristics, and prognostic factors of nongenital metastatic ovarian tumors:review of 48 patients[J]. Eur J Gynaecol Oncol,2012,33(5):493-497.
|
|
|
| [[8]] |
DOGANAY M, TOPÇU H O, KOKANALI M K, et al. Krukenberg carcinoma metastasized from stomach resembling mucinous cystadenocarcinoma of the ovary[J]. J Exp Ther Oncol,2017,11(1):23-26.
|
|
|
| [[9]] |
李增山,李青.2010年版消化系统肿瘤WHO分类解读[J].中华病理学杂志,2011,40(5):351-354. LI Zengshan, LI Qing. The latest 2010 WHO classification of tumors of digestive system[J]. Chinese Journal of Pathology,2011,40(5):351-354. (in Chinese)
|
|
|
| [[10]] |
FUJIMOTO A, ISHIKAWA Y, ISHⅡ T, et al. Differences between gastric signet-ring cell carcinoma and poorly differentiated adenocarcinoma:a comparison of histopathologic features determined by mucin core protein and trefoil factor family peptide immunohistochemistry[J]. Pathol Int,2017,67(8):398-403.
|
|
|
| [[11]] |
BRUCHIM I, BEN-HARIM Z, PIURA E, et al. Preoperative clinical and radiological features of metastatic ovarian tumors[J]. Arch Gynecol Obstet,2013,288(3):615-619.
|
|
|
| [[12]] |
SAL V, DEMIRKIRAN F, TOPUZ S, et al. Surgical treatment of metastatic ovarian tumors from extragenital primary sites[J]. Int J Gynecol Cancer,2016,26(4):688-696.
|
|
|
| [[13]] |
ROBLES CARTAGENA I, ROBLES CARTAGENA A, DELGADO FLORES G,et al. Metastatic ovarian tumor masquerading as atypical pneumonia[J]. Bol Asoc Med P R,2015,107(3):38-41.
|
|
|
| [[14]] |
马凤华,强金伟.磁共振成像在转移性卵巢肿瘤的应用现状[J].中国医学计算机成像杂志,2015,21(2):190-192. MA Fenghua, QIANG Jinwei. Application of MRI in metastatic ovarian tumors[J]. Chinese Computed Medical Imaging,2015,21(2):190-192. (in Chinese)
|
|
|
| [[15]] |
KIR G, GURBUZ A, KARATEKE A,et al. Clinicopathologic and immunohistochemical profile of ovarian metastases from colorectal carcinoma[J]. World J Gastrointest Surg,2010,2(4):109-116.
|
|
|
| [[16]] |
DEMOPOULOS R I, TOUGER L, DUBIN N. Secondary ovarian carcinoma:a clinical and pathological evaluation[J]. Int J Gynecol Pathol,1987,6(2):166-175.
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