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[子宫体良恶性肿瘤的磁共振成像表现及鉴别诊断]

[MRI Findings and Differential Diagnosis of Benign and Malignant Tumors of the Uterine Corpus].

作者信息

Kim Jihyun, Heo Suk Hee, Shin Sang Soo, Jeong Yong Yeon

出版信息

Taehan Yongsang Uihakhoe Chi. 2021 Sep;82(5):1103-1123. doi: 10.3348/jksr.2021.0116. Epub 2021 Sep 27.

DOI:10.3348/jksr.2021.0116
PMID:36238403
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9432370/
Abstract

The uterus can be largely divided into the uterine corpus and uterine cervix. Diseases that can occur in the uterine corpus, composed of the endometrium and myometrium, vary from benign to malignant tumors. Ultrasound and CT are the primary non-invasive evaluation methods to differentiate between benign and malignant tumors, but in some cases, they are difficult to differentiate due to their non-specific imaging findings. However, magnetic resonance imaging (MRI), which has high resolution, helps not only in locating lesions but also in evaluating histological characteristics and staging of malignant tumors. In this review article, the characteristic MRI findings that radiologists should be aware of regarding various benign and malignant tumors detected in the uterine corpus are summarized with their points of differentiation.

摘要

子宫主要可分为子宫体和子宫颈。由子宫内膜和肌层组成的子宫体可发生的疾病范围从良性肿瘤到恶性肿瘤。超声和CT是区分良性和恶性肿瘤的主要非侵入性评估方法，但在某些情况下，由于其非特异性的影像学表现，很难进行区分。然而，具有高分辨率的磁共振成像（MRI）不仅有助于定位病变，还能评估恶性肿瘤的组织学特征和分期。在这篇综述文章中，总结了放射科医生应了解的子宫体中检测到的各种良性和恶性肿瘤的特征性MRI表现及其鉴别要点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/9432370/760991fae305/jksr-82-1103-g013.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/9432370/d1dae9467ff8/jksr-82-1103-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/9432370/05887f65af25/jksr-82-1103-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/9432370/8ec3a4815335/jksr-82-1103-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/9432370/346d287f1db4/jksr-82-1103-g009.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/9432370/b7b7a3c510c9/jksr-82-1103-g011.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/9432370/dd572ddcf0d1/jksr-82-1103-g012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/9432370/760991fae305/jksr-82-1103-g013.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/9432370/0f25b4905a10/jksr-82-1103-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/9432370/531b017b3b40/jksr-82-1103-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/9432370/83fce2d46120/jksr-82-1103-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/9432370/d1dae9467ff8/jksr-82-1103-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/9432370/05887f65af25/jksr-82-1103-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/9432370/8ec3a4815335/jksr-82-1103-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/9432370/346d287f1db4/jksr-82-1103-g009.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/9432370/44b266614601/jksr-82-1103-g010.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/9432370/b7b7a3c510c9/jksr-82-1103-g011.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4930/9432370/760991fae305/jksr-82-1103-g013.jpg

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本文引用的文献

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Multiparametric MR evaluation of uterine leiomyosarcoma and STUMP versus leiomyoma in symptomatic women planned for high frequency focussed ultrasound: accuracy of imaging parameters and interobserver agreement for identification of malignancy.磁共振多参数评价计划行高聚焦超声治疗的有症状女性的子宫平滑肌肉瘤和子宫平滑肌瘤 STUMP 与平滑肌瘤：影像参数的准确性和识别恶性肿瘤的观察者间一致性。
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Risk Factors Associated with Endometrial Pathology in Premenopausal Breast Cancer Patients Treated with Tamoxifen.他莫昔芬治疗的绝经前乳腺癌患者子宫内膜病变的相关风险因素。
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Uterine carcinosarcoma: a primer for radiologists.子宫癌肉瘤：放射科医生入门。
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Uterine Adenosarcoma.子宫腺肉瘤。
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