摘要
目的探讨卵巢良性Brenner瘤的CT表现,以加深放射科医生对该病的认识并提升诊断水平。方法回顾性分析经组织病理学证实的31例卵巢良性Brenner瘤患者的临床资料和CT表现,其中10例患者术前仅行CT平扫,余21患者均行CT平扫和增强扫描。结果31例卵巢良性Brenner瘤患者中,中位年龄为55岁(范围:28-74岁),23例已绝经,23例无症状,肿瘤的平均最大径为8.7±6.1cm,平均最小径为6.5±3.9cm;17例右侧卵巢发病,27例边界清楚,20例为囊实性肿块,22例病灶存在不同程度的钙化;19例(86.4%)病灶在增强后呈轻度强化。当病灶表现为囊实性肿块时,75.0%(15/20)的病例表现为多房,且囊性病变中65.0%(13/20)的病例为粘液性病变。结论卵巢良性Brenner瘤的CT表现具有一定的影像学特征,结合患者的临床资料可提高放射科医生对本病的诊断水平。
Objective To explore the CT features of benign Brenner tumor of ovary in order to deepen radiologists'understanding of the disease and improve the diagnosis level.Methods The clinical data and CT features of 31 patients with benign Brenner tumor of ovary confirmed by histopathology were retrospectively analyzed.Among them,10 patients underwent only plain CT scans before surgery,while the remaining 21 patients underwent both plain and enhanced CT scans.Results Among the 31 patients with benign Brenner tumor of the ovary,the median age was 55 years(range:28-74 years),23 were postmenopausal,and 23 were asymptomatic.The mean maximum diameter of the tumor was 8.7±6.1cm,and the mean minimum diameter was 6.5±3.9cm.There were 17 cases of right ovarian disease,27 cases with clear boundary,20 cases with solid cystic mass,22 cases with varying degrees of calcification,and 19 cases(86.4%)showed mild enhancement after enhancement.When the lesion presented as a solid cystic mass,75.0%(15/20)of the cases were multilocular,and 65.0%(13/20)of the cystic lesions were mucous lesions.Conclusion The CT features of benign Brenner tumor of ovary have certain imaging characteristics,which can improve the diagnostic level of radiologists combined with the clinical data of patients.
作者
陈凤
李昇霖
吕苏珍
孙逢春
张国晋
CHEN Feng;LI Sheng-lin;LV Su-zhen;SUN Feng-chun;ZHANG Guo-jin(Department of Radiology,First People's Hospital of Tianshui,Tianshui 741000,Gansu Province,China;Department of Radiology,the Second Hospital of Lanzhou University,Lanzhou 730030,Gansu Province,China;Department of Radiology,Sichuan Academy of Medical Sciences&Sichuan Provincial People's Hospital,Affiliated Hospital of UESTC,Chengdu 610072,Sichuan Province,China)
出处
《中国CT和MRI杂志》
2025年第7期126-128,共3页
Chinese Journal of CT and MRI
基金
国家自然科学基金项目(82202147)
四川省医学科学院·四川省人民医院院科研基金(2022QN25)。
