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卵巢Sertoli-Leydig细胞瘤的MRI表现

MRI characteristics of ovarian Sertoli-Leydig cell tumors

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【作者】 冯燕韻赵海刘健萍卢瑞梁李文浩高明勇

【Author】 FENG Yanyun;ZHAO Hai;LIU Jianping;LU Ruiliang;LI Wenhao;GAO Mingyong;Department of Radiology,the First People’s Hospital of Foshan,the Affiliated Foshan Hospital of Sun Yat-sen University;

【机构】 佛山市第一人民医院中山大学附属佛山医院影像科

【摘要】 目的 探讨卵巢Sertoli-Leydig细胞瘤(SLCTs)的MRI表现特点。方法 回顾性分析7例手术病理证实为卵巢SLCTs的临床、MRI表现及病理资料。结果 7例卵巢SLCTs患者中,5例出现睾酮水平升高。MRI表现为实性肿块伴小囊变区或囊实性肿块伴厚薄不均囊壁、分隔及壁结节;实性部分在T1WI呈低信号,T2WI呈稍高信号;囊性部分在T1WI呈低信号,T2WI呈高信号;增强扫描显示病灶内实性部分、分隔及壁结节明显强化。结论 卵巢SLCTs MRI表现为实性或多房囊实性肿块,可具有不规则增厚囊壁和分隔,实性成分及分隔明显增强。

【Abstract】 Objective To investigate the MRI characteristics of ovarian Sertoli-Leydig cell tumors(SLCTs).Methods The clinical, MRI features and pathological data of 7 cases with ovarian SLCTs confirmed by operation and pathology were analyzed retrospectively.Results 5 out of 7 cases of ovarian SLCTs, showed elevated levels of testosterone.MRI characteristics of ovarian SLCTs were presented mainly as solid mass with small cystic area, cystic solid mass with uneven thickness of cystic wall, septa or mural nodules.The solid components appeared as low signal intensity on T1WI and slightly high intensity on T2WI,while the cystic components showed low signal intensity on T1WI and high intensity on T2WI.All the solid components and septa or mural nodules showed enhancement after administration of contrast medium.Conclusion MRI of ovarian SLCTs presents as solid or solid and multi-cystic mass with the irregularly thickened wall and septa, obvious enhancement in the solid and septa components.

【基金】 佛山市医学重点专科培育项目建设(Fspy3-2015013)
  • 【文献出处】 实用放射学杂志 ,Journal of Practical Radiology , 编辑部邮箱 ,2020年03期
  • 【分类号】R737.31;R445.2
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