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子宫体中肾样腺癌的影像学表现:一例报告

Radiologic Findings of Mesonephric-Like Adenocarcinoma of the Uterine Corpus: A Case Report.

作者信息

Kim Ha Jung, Kim Kyeong Ah, Chun Yikyeong, Kim Jeong Woo, Lee Jongmee, Lee Chang Hee

出版信息

J Korean Soc Radiol. 2023 May;84(3):698-704. doi: 10.3348/jksr.2022.0119. Epub 2023 May 9.

DOI:10.3348/jksr.2022.0119
PMID:37324981
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10265246/
Abstract

According to the 2020 World Health Organization classification, mesonephric-like adenocarcinoma (MLA) is newly categorized as a subtype of endometrial carcinoma and remains a relatively unknown disease owing to its rarity. To the best of our knowledge, radiological findings of MLA have not been reported in the English literature. The uterine MLAs show a worse clinical prognosis and a more aggressive biological behavior than the usual endometrial carcinoma. Herein, we present the imaging findings of a 65-year-old female with a MLA in the uterine corpus. The tumor was a solid endometrial mass with deep myometrial invasion, poor contrast enhancement, and moderate diffusion restriction.

摘要

根据世界卫生组织2020年的分类,中肾样腺癌(MLA)被新归类为子宫内膜癌的一种亚型,由于其罕见性,它仍然是一种相对鲜为人知的疾病。据我们所知,英文文献中尚未报道过MLA的影像学表现。与常见的子宫内膜癌相比,子宫MLA的临床预后更差,生物学行为更具侵袭性。在此,我们展示了一名65岁患有子宫体部MLA的女性的影像学表现。肿瘤为实性子宫内膜肿块,肌层浸润较深,对比增强不佳,且有中度扩散受限。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e57/10265246/6ba3471029aa/jksr-84-698-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e57/10265246/6ba3471029aa/jksr-84-698-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e57/10265246/6ba3471029aa/jksr-84-698-g001.jpg

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本文引用的文献

1
Mesonephric-like Adenocarcinoma of the Ovary: Clinicopathological and Molecular Characteristics.卵巢中肾样腺癌:临床病理及分子特征
Diagnostics (Basel). 2022 Jan 27;12(2):326. doi: 10.3390/diagnostics12020326.
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Progress in the pathological arena of gynecological cancers.妇科癌症病理学领域的进展。
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Mesonephric-Like Adenocarcinoma of the Endometrium: Diagnostic Advances to Spot This Wolf in Sheep's Clothing. A Review of the Literature.子宫内膜中肾样腺癌:识别这只“披着羊皮的狼”的诊断进展。文献综述
J Clin Med. 2021 Feb 11;10(4):698. doi: 10.3390/jcm10040698.
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Histopathology. 2016 Jun;68(7):1013-20. doi: 10.1111/his.12895. Epub 2016 Jan 4.
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Imaging in endometrial carcinoma.子宫内膜癌的影像学检查
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10
Uterine sarcomas: clinical presentation and MRI features.子宫肉瘤:临床表现及磁共振成像特征
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