子宫腺瘤样瘤的MRI表现

钟永青;陈惠恩;梁 斌;孙井松;张仙海

中国临床医学影像杂志 ›› 2015, Vol. 26 ›› Issue (10) : 732-735.

中国临床医学影像杂志 ›› 2015, Vol. 26 ›› Issue (10) : 732-735.
论著

子宫腺瘤样瘤的MRI表现

  • 钟永青1,陈惠恩1,梁 斌1,孙井松1,张仙海2
作者信息 +

MRI manifestation of uterine adenomatoid tumor

  • ZHONG Yong-qing1, CHEN Hui-en1, LIANG Bin1, SUN Jing-song1, ZHANG Xian-hai2
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摘要

目的:总结子宫腺瘤样瘤的MRI表现,探讨MRI检查对子宫腺瘤样瘤的诊断价值。方法:回顾经病理证实的子宫腺瘤样瘤11例,结合文献分析其MRI形态及信号特点。结果:11例共12个病灶,其中1例2个病灶。11个病灶位于浆膜下,1个病灶位于子宫肌层。全部病灶边界清楚,11个实性结节,在T1WI呈略低或等信号,在T2WI呈略低信号,DWI弥散未见受限呈等信号;Gd-DTPA增强扫描肿块明显均匀强化,明显高于子宫肌层信号。1个囊实性结节,在T1WI呈高等低混杂信号,在T2WI呈混杂信号,其内可见液-液平面,DWI弥散未见受限呈等信号, Gd-DTPA增强扫描肿块实性部分明显强化,明显高于子宫肌层信号,出血灶无强化。结论:子宫腺瘤样瘤的MRI表现呈多样化,其中T1WI及T2WI液-液平面征具有特异性,增强扫描病灶强化程度高于子宫肌层及边界清楚的结节为特征表现。MRI检查对其有较大的诊断价值。

Abstract

Objective: To investigate MRI manifestations of adenomatoid tumor and its diagnostic value. Methods: Eleven cases of adenomatoid tumor proved by pathology were retrospectively reviewed. Their MRI appearance and signal intensity were analysed correlative literatures. Results: In all 11 cases, 12 foci were found. Eleven foci were found in thesubserous layer and 1 focus was in the myometrium. Eleven solid foci showed slightly low signal intensity or intermediate signal intensity on T1WI, slightly low signal intensity on T2WI and intermediate signal intensity on DWI. Compared to myometrium, the lesions were enhanced after Gd-DTPA injection. The other solid-cystic focus showed mixed signal intensity on T1WI and T2WI with fluid-fluid level. The signal intensity was intermediate on DWI and the solid part was obviously enhanced after Gd-DTPA injection. Conclusion: There are varied MRI manifestations for adenomatoid tumor. Its characteristic features include fluid-fluid level on T1WI and T2WI with clear and obviously enhanced focus compared to myometrium.

关键词

子宫肿瘤 / 腺瘤样瘤 / 磁共振成像

Key words

Uterine neoplasms / Adenomatoid tumor / Magnetic resonance imaging

引用本文

导出引用
钟永青;陈惠恩;梁 斌;孙井松;张仙海. 子宫腺瘤样瘤的MRI表现[J]. 中国临床医学影像杂志. 2015, 26(10): 732-735
ZHONG Yong-qing;CHEN Hui-en;LIANG Bin;SUN Jing-song;ZHANG Xian-hai. MRI manifestation of uterine adenomatoid tumor[J]. Journal of China Clinic Medical Imaging. 2015, 26(10): 732-735
中图分类号: R737.33    R730.261    R445.2   

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