摘要
目的探讨2例经病理证实的腹膜原发恶性苗勒管肿瘤(PMMTP)的CT及MRI表现。方法回顾分析2例经手术证实的PMMTP的CT、MRI资料并结合文献讨论。结果 2例中,1例为恶性苗勒管混合瘤(癌肉瘤),1例为腹膜苗勒管腺癌(浆液性乳头状癌),均为左中腹部巨大实性肿块伴液化坏死,均为老年女性,无卵巢病变。结论腹部CT、MRI平扫+增强扫描可以显示腹膜较大肿瘤并分析囊实性成分,可伴随腹膜增厚及结节,结合中老年女性并排除生殖系统尤其卵巢病变,应想到PMMTP的可能。
Objective To discuss CT and MRI features of primary malignant mullerian tumor of peritoneum. Methods CT and MRI findings in two cases with pathologically proved primary malignant mullerian tumor of peritoneum were retrospectively analyzed. The relevant literatures were reviewed. Results Of the two cases, one was malignant mullerian duct mixed tumor （carcinosarcoma） and the other was mullerian tumor adenocarcinoma of peritoneum （ papillary serous carcinoma）. Both patients were aged females who had no ovarian diseases. The lesion in both patients was characterized by a huge solid mass with liquefaction necrosis on CT and MRI scans. Conclusion On plain and enhanced abdominal CT and MRI scans primary malignant mullerian tumor of peritoneum is manifested as a large peritoneal mass with solid and cystic component, and thickened peritoneum and peritoneal nodules can also be revealed. Imaging findings combined with clinical infor- mation, such as an aged female with no ovarian disease, is very suggestive of the diagnosis..
出处
《临床放射学杂志》
CSCD
北大核心
2014年第5期797-800,共4页
Journal of Clinical Radiology
关键词
腹膜
恶性苗勒管肿瘤
X线计算机
磁共振成像
Peritoneum
Malignant mullerian tumor
X-ray computed
Magnetic resonance imaging
