摘要
目的:探讨胃肠道来源Krukenberg瘤的CT表现。方法:回顾性分析11例Krukenberg瘤患者的CT表现、临床病史和手术病理结果。结果:11例Krukenberg瘤来源于胃癌6例,直肠癌1例,结肠癌2例,另2例原发灶不明。CT 扫描共发现19个卵巢肿块灶,双侧肿块8例,单侧3例;囊实混合性病灶15个,实性4个,实性成分可强化;肿块与周围组织边界清楚16个,不清楚3个。结论:双侧卵巢出现边界较清的囊实性或实性为主肿块,应考虑Krukenberg瘤可能。CT 是发现消化道原发灶及远处转移的可靠方法之一。
Objective：To study the CT manifestations of Krukenberg tumor and correlated with pathology. Methods： Of 11 cases with pathology proved Krukenberg tumor with typical signet ring cells and intracellular mucin from primary gastrointestional tract carcinoma,CT features were retrospectively analyzed. Results：Of the 11 cases, the primary tumor was gastric carcinoma （n= 3）, colon carcinoma （ n = 2）, rectal carcinoma （ n= 1 ）, unknown primary （ n = 2）. Totally 19 ovarian masses were found. CT features included：bilateral （n = 8） and unilateral （n = 3） ovarian tumors. Intra-tumoral structure were cystic and solid （n= 15）, solid （n= 4）,with solid component showing enhancement after contrast administration. The tumors had well-defined margin （n=16）,ill-defined margin （n=3）. Conclusion： Krukenberg tumor should be aware when the patient shows bilateral ovarian mass with mixed or solid components and well-defined margin. CT scanning is a reliable examination for searching primary tumor in gastrointestinal tract and detecting distant metastases within abdomen.
出处
《放射学实践》
2006年第1期64-66,共3页
Radiologic Practice
关键词
体层摄影术
X线计算机
卵巢肿瘤
胃肠肿瘤
Tomography,X-ray computed
Ovarian neopolasms
Gastrointestinal neoplasms
