卵巢甲状腺肿的磁共振成像多参数诊断与病理分析对照
摘要
目的探讨卵巢甲状腺肿的磁共振成像(MRI)表现、鉴别诊断及相关临床病理特征,以提高对本疾病的认识。方法回顾性分析8例经手术病理证实的卵巢甲状腺肿患者相关MRI检查资料与临床组织病理学资料。总结分析病变发生部位、形态、信号特点、囊壁及间隔强化方式等,归纳其MRI特点及相关病理特征。结果 8例患者均为单侧发病,左、右侧附件发生率为3∶1。MRI平扫病灶囊性部分为不均匀混杂信号,3例病灶内可见T_1WI高信号,4例病灶囊性部分表现为T_2WI低信号影,磁共振扩散加权成像(DWI)扫描呈异常高信号;增强扫描囊壁与实性部分明显强化。结论卵巢甲状腺肿具有一定的MRI影像学特征,尤其病灶内T_2WI低信号改变,反映了相应的特异性病理改变,而最终的病理形态学及免疫组织化学检查可以帮助明确诊断。
引文
[1]Royo P,Alcazar JL,Virgen M,et al.B-mode and Doppler features of struma ovarii[J].Ultrasound Obstet Gynecol,2008,31:109-110.
[2]Kim JC,Kim SS,Park JY.MR findings of struma ovarii[J].Clin Imaging,2000,24(1):28-33.
[3]兰勇,李伟,罗学毛,等.卵巢甲状腺肿的CT表现:与病理对照[J].中国医学影像技术,2010,26(1):116-118.
[4]Ribeiro-Silva A,Bezerra AM,Serafini LN.Malignant struma ovarii:an autopsyreport of aclinically unsuspected tumor[J].Gynecol Oncol,2002,87(2):213-215.
[5]Yoo SC,Chang KH,Lyu MO,et al.Clinical characteristics of struma ovarii[J].J Gynecol Oncol,2008,19(2):135-138.
[6]Jung SI,Kim YJ,Lee MW,et al.Stmma ovafii:CT findings[J].Abdom Imaging,2008,33(6):740-743.
[7]Keuchi T,Tamai K,et al.CT and MR features of struma ovarii[J].Abdom Imaging,2012,37(5):904-910.
[8]Matsuki M,Kaji Y,Matsuo M,et al.Struma ovarii:MRIfindings[J].Br J Radiol,2000,73(865):87-90.
[9]Wei S,Baloch ZW,Livolsi VA.Pathology of struma ovarii:a report of 96 cases[J].Endocr Pathol,2015,26(4):342-348.
[10]周永,蒋黎,努尔兰,等.卵巢甲状腺肿的MSCT表现、病理对照与误诊分析[J].临床放射学杂志,2017,36(9):1292-1295.
[11]Roth LM,Talerman A.The enigma of struma ovarii[J].Pathology,2007,39:139-146.
[12]李伟大,黄朝晖,陈艳,等.卵巢甲状腺肿的CT和MRI诊断[J].中华放射学杂志,2012,46(11):1030-1032.
[2]Kim JC,Kim SS,Park JY.MR findings of struma ovarii[J].Clin Imaging,2000,24(1):28-33.
[3]兰勇,李伟,罗学毛,等.卵巢甲状腺肿的CT表现:与病理对照[J].中国医学影像技术,2010,26(1):116-118.
[4]Ribeiro-Silva A,Bezerra AM,Serafini LN.Malignant struma ovarii:an autopsyreport of aclinically unsuspected tumor[J].Gynecol Oncol,2002,87(2):213-215.
[5]Yoo SC,Chang KH,Lyu MO,et al.Clinical characteristics of struma ovarii[J].J Gynecol Oncol,2008,19(2):135-138.
[6]Jung SI,Kim YJ,Lee MW,et al.Stmma ovafii:CT findings[J].Abdom Imaging,2008,33(6):740-743.
[7]Keuchi T,Tamai K,et al.CT and MR features of struma ovarii[J].Abdom Imaging,2012,37(5):904-910.
[8]Matsuki M,Kaji Y,Matsuo M,et al.Struma ovarii:MRIfindings[J].Br J Radiol,2000,73(865):87-90.
[9]Wei S,Baloch ZW,Livolsi VA.Pathology of struma ovarii:a report of 96 cases[J].Endocr Pathol,2015,26(4):342-348.
[10]周永,蒋黎,努尔兰,等.卵巢甲状腺肿的MSCT表现、病理对照与误诊分析[J].临床放射学杂志,2017,36(9):1292-1295.
[11]Roth LM,Talerman A.The enigma of struma ovarii[J].Pathology,2007,39:139-146.
[12]李伟大,黄朝晖,陈艳,等.卵巢甲状腺肿的CT和MRI诊断[J].中华放射学杂志,2012,46(11):1030-1032.