Chang Wei-Chao, Meux Maya D, Yeh Benjamin M, Qayyum Aliya, Joe Bonnie N, Chen Lee-may, Coakley Fergus V
Department of Radiology, University of California San Francisco, Box 0628, M-372 505 Parnassus Ave., San Francisco, CA 94143-0628, USA.
AJR Am J Roentgenol. 2006 Apr;186(4):1039-45. doi: 10.2214/AJR.04.0997.
The purpose of this pictorial essay is to review the differential considerations when an adnexal mass is detected on CT or MRI in a patient with a primary nonovarian malignancy.
Such adnexal masses may be metastases to the ovaries, primary ovarian malignancy, or incidental benign disorders. Solid masses are more likely metastases, but metastases can be predominantly cystic and primary ovarian cancers can be solid. MRI may help characterize incidental benign entities such as endometriosis, fibroma, and peritoneal inclusion cysts.
本图文并茂的文章旨在回顾在原发性非卵巢恶性肿瘤患者的CT或MRI检查中发现附件包块时的鉴别诊断要点。
此类附件包块可能是卵巢转移瘤、原发性卵巢恶性肿瘤或偶然发现的良性病变。实性包块更可能是转移瘤，但转移瘤也可能以囊性为主，而原发性卵巢癌也可能是实性的。MRI有助于鉴别诸如子宫内膜异位症、纤维瘤和腹膜包涵囊肿等偶然发现的良性病变。
