Miyasaka Y, Hachiya J, Furuya Y, Seki T, Watanabe H
J Comput Assist Tomogr. 1985 May-Jun;9(3):459-62. doi: 10.1097/00004728-198505000-00007.
We report the use of dynamic CT for the evaluation of trophoblastic disease of the uterus. In five cases showing evidence of persistent trophoblastic disease after evacuation of a molar gestation, contrast enhancement of the myometrium demonstrated several hypodense foci surrounded by highly enhanced areas. These observations were not found in two cases of successfully evacuated hydatidiform mole without sequela. A case of choriocarcinoma showed a large central nonenhanced lesion with peripheral contrast enhancement. Filling defects in a markedly contrast enhanced lesion probably represent hydatids penetrating the myometrium and should suggest invasive mole.
我们报告了利用动态CT评估子宫滋养细胞疾病的情况。在5例葡萄胎妊娠排空后显示持续性滋养细胞疾病证据的病例中，子宫肌层的对比增强显示出几个低密度灶，周围为高度增强区域。在2例成功排空且无后遗症的葡萄胎病例中未发现这些表现。1例绒毛膜癌显示中央有一个大的无强化病灶，周边有对比增强。在明显对比增强的病灶中出现充盈缺损可能代表水泡状胎块穿透子宫肌层，提示侵蚀性葡萄胎。
