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绝经后妇女的子宫海绵状血管瘤:CT 和 MRI 表现类似于退变的子宫肌瘤。

Uterine cavernous haemangioma in a post-menopausal woman: CT and MRI findings mimicking uterine myoma with degeneration.

机构信息

Department of Radiology, Keimyung University Dongsan Hospital, College of Medicine, Daegu, Korea.

出版信息

Br J Radiol. 2011 Apr;84(1000):e68-71. doi: 10.1259/bjr/56484373.

Abstract

Cavernous haemangioma is a very rare vascular malformation of the uterus. We describe the CT and MRI findings of a cavernous haemangioma in an 81-year-old female with recurrent menorrhagia. CT showed a well-marginated mass with multifocal calcifications and extensive haemorrhage, as well as necrosis in the anterior wall of the uterus. MRI revealed heterogeneous low- to high-signal intensities of the mass on T(1) and T(2 )weighted images as well as portions with poor enhancement of the mass on contrast-enhanced T(1 )weighted images. Although rare, cavernous haemangioma should be included in the differential diagnosis of a calcified haemorrhagic necrotic uterine mass in post-menopausal women.

摘要

海绵状血管瘤是一种非常罕见的子宫脉管畸形。我们描述了一例 81 岁反复月经过多的女性的海绵状血管瘤的 CT 和 MRI 表现。CT 显示子宫前壁边界清楚的肿块,有多处钙化和广泛出血及坏死。MRI 显示肿块在 T1 和 T2 加权图像上呈不均匀的低到高信号强度,以及肿块在增强 T1 加权图像上的部分增强不良。尽管罕见,但海绵状血管瘤应包括在绝经后妇女钙化性出血性坏死性子宫肿块的鉴别诊断中。

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