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原发性卵巢癌的CT诊断及分期价值(附53例报告)

Diagnosis and Staging of Patients with Primary Ovarian Carcinoma by CT

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【作者】 何孔明伍燕张福洲

【Author】 HE Kong-ming~1,WU Yan~2,ZHANG Fu-zhou~1(1.Department of CT Room;2.Department of Gynccology and Obstctrics, The Affiliated Nanchong Center Hospital of North Sichuan Medical College,Nanchong Sichuan 637000,China)

【机构】 川北医学院附属南充市中心医院CT室川北医学院附属南充市中心医院妇产科川北医学院附属南充市中心医院CT室 四川南充637000四川南充637000

【摘要】 目的探讨CT对原发性卵巢癌的诊断及其分期的价值。方法对经手术病理证实为原发性卵巢癌病例,与临床病理分期对照,分析其各期CT表现,并行CT分期。结果CT表现直接征象为盆腔肿块,间接征象常有腹水、邻近器官受侵,转移征象。CT分期,I期8例(15%),Ⅱ期13例(25%),Ⅲ期23例(43%),Ⅳ期9例(17%)。手术病理分期Ⅰ期1例(2%),Ⅱ期13例(25%),Ⅲ期26例(49%),Ⅳ期13例(24%)。结论CT对原发性卵巢癌诊断及分期有重要意义,但CT分期有可能低估。

【Abstract】 Objective To investigate the role of computer tomography(CT) in diagnosis and staging of primary ovarian cacinoma(POC).Methods 53 pathologic diagnosed POC was analyzed by their clinic and pathologic staging and CT manifestation.Results The CT direct sign of POC was pelvic cavity lump,the indirect signs were ascites,infiltration and metastasis.There were 8(15%) patients with stageⅠ,13(25%) patients with stageⅡ,23(43%) and 9(17%)patients diagnosed through CT with stage Ⅲ and stage Ⅳ respectively.Nevertheless,there were 1(2%)patients in stageⅠ,13(25%)patients in stage Ⅱ,26(49%)and 13(24%)in stage Ⅲ and stage Ⅳ diagnosed by pathologic method.Conclusion CT is of great importance for the diagnosis and staging for the primary ovarian cacinoma,but with less sensitivity when compare to pathologic diagnosis.

  • 【文献出处】 川北医学院学报 ,Journal of North Sichuan Medical College , 编辑部邮箱 ,2006年05期
  • 【分类号】R737.31
  • 【被引频次】3
  • 【下载频次】87
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