Kuhlman J E, Hruban R H, Fishman E K
Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins Medical Institutions, Baltimore, Md 21205.
South Med J. 1989 Oct;82(10):1215-9.
We reviewed the computerized tomographic features of pathologically proven metastases to the ovary in 12 patients. Serial CT scans were available in nine of the 12 patients--before removal of the ovaries in five cases (showing typical growth characteristics of these metastases) and afterward in six (showing common patterns of tumor progression). Primary neoplasms metastasizing to the ovary included adenocarcinoma of the colon (seven), stomach (two), appendix (one), and endometrium (one), and carcinoid tumor (one). On CT, metastases to the ovary were large lobulated or oval masses with cystic and solid components. Nine were bilateral and three were unilateral. Three patterns of ovarian enlargement were seen: macrocystic (six), microcystic (three), and predominantly solid enlargement with necrosis (three). Other associated CT findings included carcinomatosis, hydronephrosis, ascites, liver metastases, and lymphadenopathy. The primary tumor in patients without a prior history of malignancy was identifiable retrospectively on CT in four of the five cases.
我们回顾了12例经病理证实的卵巢转移瘤的计算机断层扫描特征。12例患者中有9例可获得连续CT扫描图像——5例在切除卵巢前（显示这些转移瘤的典型生长特征），6例在切除卵巢后（显示肿瘤进展的常见模式）。转移至卵巢的原发性肿瘤包括结肠癌（7例）、胃癌（2例）、阑尾癌（1例）、子宫内膜癌（1例）和类癌肿瘤（1例）。在CT上，卵巢转移瘤表现为有囊性和实性成分的大分叶状或椭圆形肿块。9例为双侧，3例为单侧。观察到三种卵巢增大模式：大囊型（6例）、微囊型（3例）和以实性增大为主伴坏死（3例）。其他相关的CT表现包括癌性腹膜炎、肾积水、腹水、肝转移和淋巴结病。5例无恶性肿瘤病史患者中，有4例的原发性肿瘤可通过CT回顾性识别。
