Wójcik Gustaw, Piskorz Jolanta, Bulikowski Włodzimierz
Department of Diagnostic Imaging, Zofia Zamoyski Tarnowska Provincial Hospital in Tarnobrzeg, Tarnobrzeg, Poland ; Department of Rehabilitation, Physiotherapy and Balneotherapy, Medical University of Lublin, Lublin, Poland.
Department of Anesthesiology and Intensive Care, Zofia Zamoyski Tarnowska Provincial Hospital in Tarnobrzeg, Tarnobrzeg, Poland.
Prz Menopauzalny. 2015 Jun;14(2):149-51. doi: 10.5114/pm.2015.52156. Epub 2015 Jun 22.
Ovarian cancer usually does not give any clinical signs until it reaches a large size. This condition is often associated with the occurrence of metastases within the peritoneal cavity, pelvic and abdominal cavities. Ovarian cancer can spread by intraperitoneal implantation, by way of the lymphatic system, and also through the systemic circulation. Even when the tumor reaches a large size, the symptoms are not specific and may resemble other ailments. Therefore, ovarian cancer is detected in most cases only in the third and fourth level of advancement. Peritoneal calcification occurs in many diseases. The degree of calcium deposits is usually small and does not give clinical symptoms. In the reported case, computed tomography of the abdomen showed numerous scattered peritoneal calcifications of irregular shape as well as massive calcification in the uterus and appendages. In the detection of changes associated with calcification, multidetectory computed tomography shows a very high sensitivity. It makes the precise location and assessment of the extent of changes possible.
卵巢癌通常在肿瘤长得很大之前不会出现任何临床症状。这种情况常与腹腔、盆腔和腹腔内转移的发生有关。卵巢癌可通过腹腔种植、经淋巴系统以及通过体循环扩散。即使肿瘤长得很大，症状也不具有特异性，可能与其他疾病相似。因此，大多数情况下卵巢癌仅在进展的第三和第四阶段才被发现。腹膜钙化在许多疾病中都会出现。钙沉积程度通常较小，不会引起临床症状。在本报告的病例中，腹部计算机断层扫描显示有许多散在的不规则形状的腹膜钙化以及子宫和附件的大量钙化。在检测与钙化相关的病变时，多排螺旋计算机断层扫描显示出非常高的灵敏度。它使得能够精确确定病变的位置并评估其范围。
