Pan G, Shirkhoda A
Radiology. 1987 Sep;164(3):665-70. doi: 10.1148/radiology.164.3.3615864.
Fifty-five computed tomography (CT) scans of the pelves and abdomens of 33 patients who had undergone pelvic exenteration were reviewed. There were 27 gynecologic and six colorectal malignancies. The interval between surgery and the first CT scan ranged from 2 weeks to 37 months (median, 8 months). CT findings included abnormal fluid collections (33.3%), abnormalities of the neovagina (30.3%) and presacral soft tissues (36.4%), increased hydronephrosis (54.5%), and lymphocysts (6.1%). Tumors recurred in 17 of 33 patients (51.5%) at a median interval of 9 months after surgery and had several CT manifestations. The most common of these was a soft-tissue mass of variable density and shape, but pelvic fluid collections as well as abnormalities of the neovagina and presacral soft-tissue layer were also associated with tumor recurrence. The surgical indications, methods, and potential post-operative complications of pelvic exenteration were reviewed and the role of CT in the follow-up of these patients was emphasized.
回顾了33例接受盆腔脏器清除术患者的55份骨盆和腹部计算机断层扫描（CT）图像。其中妇科恶性肿瘤27例，结直肠恶性肿瘤6例。手术至首次CT扫描的时间间隔为2周至37个月（中位数为8个月）。CT表现包括异常积液（33.3%）、新阴道异常（30.3%）和骶前软组织异常（36.4%）、肾积水加重（54.5%）以及淋巴囊肿（6.1%）。33例患者中有17例（51.5%）复发，复发的中位间隔时间为术后9个月，有多种CT表现。最常见的是密度和形状各异的软组织肿块，但盆腔积液以及新阴道和骶前软组织层的异常也与肿瘤复发有关。文中回顾了盆腔脏器清除术的手术指征、方法和潜在的术后并发症，并强调了CT在这些患者随访中的作用。
