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妇科患者盆腔肿瘤及肿瘤样病变的横断面成像——误诊要点与鉴别诊断

Cross-sectional imaging of the pelvic tumors and tumor-like lesions in gynecologic patients-misinterpretation points and differential diagnosis.

作者信息

Padovan Ranka Stern, Kralik Marko, Prutki Maja, Hrabak Maja, Oberman Bozidar, Potocki Kristina

机构信息

Clinical Institute of Diagnostic and Interventional Radiology, Clinical Hospital Center Zagreb, School of Medicine, University of Zagreb, Zagreb, Croatia.

出版信息

Clin Imaging. 2008 Jul-Aug;32(4):296-302. doi: 10.1016/j.clinimag.2007.11.003.

Abstract

Computed tomography and/or magnetic resonance imaging were performed in 42 female patients with suspected pelvic mass. Surgical and histopathological reports were compared to the imaging findings, yielding mismatch in five (17.8%) patients. One benign cyst and one case of postirradiation fibrosis were characterized as recurrent tumors, one surgically transposed ovary as metastasis, and an ovarian torsion as ovarian tumor, and a pelvic hematoma was mistaken for abscess. The most common false-positive finding on a per-lesion basis was that of enlarged lymph nodes.

摘要

对42例疑似盆腔肿块的女性患者进行了计算机断层扫描和/或磁共振成像检查。将手术和组织病理学报告与影像学检查结果进行比较,发现5例(17.8%)患者存在不匹配情况。1例良性囊肿和1例放疗后纤维化被误诊为复发性肿瘤,1例手术移位的卵巢被误诊为转移瘤,1例卵巢扭转被误诊为卵巢肿瘤,1例盆腔血肿被误诊为脓肿。在每个病灶基础上,最常见的假阳性发现是淋巴结肿大。

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