摘要
目的：探讨早期子宫颈癌术后复发或转移的典型和不典型CT征象。方法：收集125例早期子宫颈癌术后复发或转移病例，所有病例均接受螺旋CT增强扫描，对其CT表现进行回顾性分析。结果：局部复发23例，其中病变位于阴道残端9例，位于手术床区8例，位于盆壁5例，位于前腹壁1例，均表现为不规则形肿物，有明确坏死12例；淋巴结转移79例，其中只有淋巴结转移54例，同时合并有局部复发者6例，同时合并有远处转移10例，三者同时并存9例。远处器官转移23例，其中肝脏转移11例，肺转移6例，肾上腺转移3例，骨转移2例，腹膜复发1例。结论：淋巴结转移是早期子宫颈癌术后复发或转移的最常见的表现形式，CT可检出复发或转移病灶，并能显示病灶形态和范围，对于诊断和确定肿瘤范围有较大价值。
Abstract
Objective: To investigate the typical and atypical CT manifestations of recurrent cervical carcinoma. Methods: 125 patients with recurrent cervical carcinoma, all received contrast spiral CT examination, were collected, and their CT manifestations were analyzed retrospectively. Results: There were 23 cases of local recurrence, of which 9 cases were located in vaginal cuff, 8 cases located in surgical bed, 5 cases located in pelvic side wall, one case located in anterior abdominal wall. They all appeared as irregular mass, of which 12 cases had obvious necrosis. There were 79 cases with lymph node metastasis, of which 6 cases had local recurrence simultaneously, 10 cases had distant metastasis simultaneously, 9 cases had both local recurrence and distant metastasis simultaneously. There were 23 cases of distant metastasis, of which 11 cases were of hepatic metastasis, 6 cases of pulmonary metastasis, 3 cases of adrenal metastasis, 2 cases of bone metastasis, 1 case of peritoneal metastasis. Conclusion: The most common appearance of recurrent cervical carcinoma is lymph node metastasis. CT can detect recurrent cervical carcinoma, and can demonstrate morphology and extent of the recurrent disease, which is of great value in diagnosis and determination of the extent of recurrence disease.
关键词
子宫肿瘤 /
肿瘤转移 /
体层摄影术 /
X线计算机
Key words
uterine neoplasms /
neoplasm metastasis /
tomography /
X-ray computed
李相生;周纯武;戴景蕊;赵心明;蒋力明.
早期子宫颈癌术后复发或转移的CT诊断[J]. 中国临床医学影像杂志. 2007, 18(10): 719-721
LI Xiang-sheng;ZHOU Chun-wu;DAI Jing-rui;ZHAO Xin-ming;JIANG Li-ming.
CT diagnosis of recurrence after operation of early-stage cervical carcinoma[J]. Journal of China Clinic Medical Imaging. 2007, 18(10): 719-721
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