青年妇女卵巢卵泡膜细胞瘤MRI诊断分析

摘要

Objective To sludy MRI findings and diagnoslic value for young women' s ovarian thecoma. Methods Three palienls wilh ovarian thecoma confirmed by histopalhotogy were reviewed relrospeclively. MRI findings, including lumor shape, size, margin and signals, were analyzed. Results The MRI showed lhal lumors were presenled as the foltowing fealures: single in lesion, large size, ellipse and irregularily, isoinlensily on T1-weighted images, isoinlensily or slighl hypoinlensily on T2-weighled images, mild enhancement after Gadolinium, and all cases wilh asiles, 1 case wilh swollen lymph nodes. Conclusion Recognilion of the MRI characteristics of young women' s ovarian thecoma is helpful to reduce the misdiagnosis.%目的 提高对青年妇女卵巢卵泡膜细胞瘤MRI特征的认识.方法 结合文献对3例经病理证实的青年妇女卵巢卵泡膜细胞瘤的MRI表现及临床特点进行回顾性分析,观察肿瘤形态、大小、边缘、信号及增强特征.结果 3例患者平均年龄32岁,肿瘤均单发,体积大,2例椭圆形、边界清楚,1例生姜状,边界欠清伴淋巴结肿大,3例均伴少量腹水,肿块实质性为主,T1WI瘤实质为等信号,T2WI呈稍低、等信号,增强轻-中度强化.结论 青年妇女卵泡膜细胞瘤MRI表现有一定特征性,可提高对该病的认识,有助于减少误诊.