干旱区生态环境知识资源中心(Arid): 子宫内膜病变的CT诊断价值

Arid

	子宫内膜病变的CT诊断价值
其他题名	Evaluation of CT Scanning in the Diagnosis of Endometrical Diseases
	戴景蕊 1; 王磊 2; 赵燕风 1
来源期刊	临床放射学杂志
ISSN	1001-9324
出版年	2003
卷号	22 期号:11 页码:931-935
中文摘要	目的探讨子宫内膜病变CT增强扫描的表现，评价CT在子宫内膜病变诊断及内膜癌分期中的价值。资料与方法回顾性分析50例经病理证实的子宫内膜病变的CT增强表现，包括内膜癌43例，恶性中胚叶混合瘤、非霍奇金淋巴瘤（NHL）各1例，内膜增生4例，息肉1例。对43例子宫内膜癌进行分期对比。结果 50例病变CT检出47例（94%），未显示3例（6%），定性诊断正确37例（74%）。43例内膜癌诊断正确35例（81.4%），3例未显示，3例漏诊；分期正确27列（62.8%），低估病变10例（23.3%），高估病变6例（14.0%）。病变表现：全部病变为密度低于子宫肌壁的软组织影，边缘不清晰、分支或不规则49例，密度均匀27例，不均匀23例，伴有子宫前后径增大35例（70%），内膜增厚47例（94%）。肌壁内缘模糊、不规则、肌层变薄、厚薄不均19例；宫颈大、密度变低或不均匀7例；子宫外缘模糊1例，盆腔、腹膜后淋巴结转移6例，肺或卵巢转移各1例，均为子宫内膜癌外侵表现。结论 CT扫描对子宫内膜病变的诊断及分期均有价值。
英文摘要	Objective To evaluate CT scanning in diagnosing endometrial diseases and in staging endometrial carcinoma. Materials and Methods CT findings in 50 patients with pathologically-proved endomelrial diseases were retrospectively ana-lyzed . The endometrial diseases included carcinoma ( n = 4-3), malignant mesodermal-mixed tumor ( n = 1) , non-Hodgkin lym-phoma ( n = 1), hyperplasia ( n = 4), polyp ( n = 1) . Staging of carcinoma was made in 43 oases with endomelrial carcinoma. Results Of 50 cases, the lesion was detected in 47 (94% ) and not displayed in 3 (6% ) on CT scans, with the correct qualita-tive diagnosis in 37 (74%). Of 43 endometrial carcinoma cases, correct diagnosis was made in 35 (81 .4% ) , the tumor was not showed in 3 and miss diagnosed in 3. The staging of the carcinoma was correct in 27 cases (62.8% ), while underestimated oc-curred in 10 cases (23.3%) and overestimated in 6 (14.0%) . On CT scans, the lesions presented as soft-tissue mass with the density lower than that of myometrium. The lesion’ s border was blurred, lobulared or irregular ( n = 49 ) , the lesion’ s density was homogeneous ( n = 27) or inhomogeneous (n = 23). Enlarged anteroposterior diameter of the uterus was seen in 35 cases (70%) , and thickened endomelrium in 47 cases (94% ) . The myometrial involvement included irregular or blurred inner border of the myometrium, and thinning or uneven thickness of the myometrium ( n = 19) . Enlarged cervix with lower or inhomogeneous density was seen in 7 cases. Other findings included ill-defined uterus border ( n = 1) , metaslatic lymphadenopathy in pelvis or retroperitoneal region (n = 6) , pulmonary (n = 1) and ovarian (n. = 1) metaslases. Conclusion CT scanning is valuable for both the diagnosis and the staging of endomelrial diseases.
中文关键词	子宫内膜癌 ; 子宫内膜病变 ; 体层摄影术，X线计算机
英文关键词	endometrial carcinoma endometrical disease tomography, X-ray computed
语种	中文
国家	中国
收录类别	CSCD
WOS类目	MEDICINE GENERAL INTERNAL
WOS研究方向	General & Internal Medicine
CSCD记录号	CSCD:1249696
资源类型	期刊论文
条目标识符	http://119.78.100.177/qdio/handle/2XILL650/204194
作者单位	1.中国医学科学院协和医院大学肿瘤医院肿瘤研究所影像科, 北京 100021, 中国; 2.河北深州市医院
推荐引用方式 GB/T 7714	戴景蕊,王磊,赵燕风. 子宫内膜病变的CT诊断价值[J],2003,22(11):931-935.
APA	戴景蕊,王磊,&赵燕风.(2003).子宫内膜病变的CT诊断价值.临床放射学杂志,22(11),931-935.
MLA	戴景蕊,et al."子宫内膜病变的CT诊断价值".临床放射学杂志 22.11(2003):931-935.