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卵巢凝固性黏液性肿瘤呈现出特征性的磁共振成像表现。

Solidified mucinous tumor of the ovary presenting characteristic MRI finding.

作者信息

Matsumoto Junichi, Yoshida Kotaro, Inoue Dai, Yoneda Norihide, Ikeda Hiroko, Mizumoto Yasunari, Gabata Toshifumi

机构信息

Department of Radiology, Kanazawa University School of Medical Sciences, Japan.

Department of Diagnostic Pathology, Kanazawa University School of Medical Sciences, Japan.

出版信息

Eur J Radiol Open. 2019 Jan 28;6:68-71. doi: 10.1016/j.ejro.2019.01.005. eCollection 2019.

DOI:10.1016/j.ejro.2019.01.005
PMID:30723755
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6351288/
Abstract

Mucinous tumors are a common ovarian cystic tumor, having a characteristic finding on MR imaging, the so-called stained glass appearance. We report a rare case of a solidified mucinous tumor of the ovary, which showed unique findings on MR images. The tumor demonstrated hypointensity on T2-weighted images, not stained glass appearance, mimicking ovarian fibrous tumor such as thecoma-fibroma. Histopathological examination confirmed solidified contents of the tumor with numerous septa and diagnosed mucinous borderline tumor/atypical proliferative tumor.

摘要

黏液性肿瘤是常见的卵巢囊性肿瘤，在磁共振成像（MR）上有特征性表现，即所谓的“彩色玻璃样外观”。我们报告一例罕见的卵巢凝固性黏液性肿瘤，其在MR图像上表现出独特的特征。该肿瘤在T2加权图像上呈低信号，而非彩色玻璃样外观，类似卵巢纤维瘤，如卵泡膜纤维瘤。组织病理学检查证实肿瘤内容物凝固，有大量分隔，诊断为黏液性交界性肿瘤/非典型增生性肿瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f81f/6351288/524470fbb513/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f81f/6351288/47d29283e0f5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f81f/6351288/aabe17727a06/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f81f/6351288/28c30b313fd2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f81f/6351288/ee61c46f7039/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f81f/6351288/524470fbb513/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f81f/6351288/47d29283e0f5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f81f/6351288/aabe17727a06/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f81f/6351288/28c30b313fd2/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f81f/6351288/ee61c46f7039/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f81f/6351288/524470fbb513/gr5.jpg

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Characterization of Primary Mucinous Ovarian Cancer by Diffusion-Weighted and Dynamic Contrast Enhancement MRI in Comparison with Serous Ovarian Cancer.通过扩散加权和动态对比增强MRI对原发性黏液性卵巢癌进行特征分析并与浆液性卵巢癌比较
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本文引用的文献

1
Mucin-producing tumors of the ovary: MR imaging appearance.卵巢黏液性肿瘤：MR 成像表现。
Diagn Interv Imaging. 2015 Nov;96(11):1125-32. doi: 10.1016/j.diii.2014.11.034. Epub 2015 Mar 6.
2
Diversity in size and signal intensity in multilocular cystic ovarian masses: new parameters for distinguishing metastatic from primary mucinous ovarian neoplasms.多房性囊性卵巢肿块大小和信号强度的多样性：鉴别转移性和原发性黏液性卵巢肿瘤的新参数。
J Magn Reson Imaging. 2013 Oct;38(4):794-801. doi: 10.1002/jmri.24058. Epub 2013 Feb 25.
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Malignant or borderline mucinous cystic neoplasms have a larger number of loculi than mucinous cystadenoma: a retrospective study with MR.
恶性或交界性黏液性囊性肿瘤的小腔数量比黏液性囊腺瘤更多：一项磁共振成像的回顾性研究
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Differential diagnosis of gynaecological "stained glass" tumours on MRI.MRI上妇科“彩色玻璃样”肿瘤的鉴别诊断。
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