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卵巢类固醇细胞瘤的 MRI 诊断:化学位移成像的价值。

MR diagnosis of steroid cell tumor of the ovary: value of chemical shift imaging.

机构信息

Department of Radiology, Faculty of Medicine, Fukuoka University, Fukuoka, Japan.

出版信息

Magn Reson Med Sci. 2009;8(4):193-5. doi: 10.2463/mrms.8.193.

DOI:10.2463/mrms.8.193
PMID:20035129
Abstract

A 53-year-old asymptomatic woman was found to have a pelvic mass at medical examination. Magnetic resonance (MR) imaging revealed a 4-cm solid mass at the right adnexal region, which showed marked hyperintensity on T(2)-weighted imaging and marked enhancement on post-contrast T(1)-weighted imaging. Chemical-shift imaging showed slight but significant signal loss on out-of-phase images, which suggested the presence of intratumoral lipid. The resected specimen exhibited typical features of steroid cell tumor, and Oil Red O stain was positive for cytoplasmic lipid.

摘要

一位 53 岁无症状女性在体检时发现盆腔肿块。磁共振成像(MR)显示右侧附件区有一个 4cm 的实性肿块,T2 加权成像呈明显高信号,增强后 T1 加权成像明显强化。化学位移成像显示反相位图像上有轻微但显著的信号丢失,提示肿瘤内存在脂质。切除标本表现出类固醇细胞瘤的典型特征,油红 O 染色细胞质脂质阳性。

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