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计算机断层扫描(CT)在妇科肿瘤术前评估中的影像学表现

Computerized tomography (CT) semeiotics in the presurgical evaluation of gynaecological neoplasias.

作者信息

Michelassi P L, Facchini V, Gadducci A, Malventi M, Morelli G, Lazzeri M, Del Bravo B, Calderazzi A, Fioretti P

出版信息

Eur J Gynaecol Oncol. 1985;6(3):204-10.

PMID:4054150
Abstract

Computerized tomography has been introduced in studies concerning neoplastic pathology of the pelvis. In this study, we have attempted to define a series of radiological signs, resulting from CT tests of pelvis or abdomen in patients with gynaecological tumors, each of which corresponds to a particular anatomopathologic situation. For each gynaecologic tumor, there is a set of more frequently found signs, the presence of which, in the single case, depends on the stage of evolution of the disease. In the staging of cervical or endometrial carcinoma, the evaluation of the relation to the bladder and rectum is very important, just like vaginal, parametrial and ureteral infiltration. In the presurgical staging of ovarian carcinoma the CT can reveal the size and shape of mono- or bilateral ovarian tumour masses and the relation that they have established with the pelvic organs and with the intestine. In spite of inevitable limitations the CT plays an essential role in gynaecologic oncologic diagnostics.

摘要

计算机断层扫描已被引入有关骨盆肿瘤病理学的研究中。在本研究中,我们试图定义一系列由妇科肿瘤患者的骨盆或腹部CT检查产生的放射学征象,其中每一种征象都对应于一种特定的解剖病理情况。对于每一种妇科肿瘤,都有一组更常见的征象,在单个病例中这些征象的存在取决于疾病的进展阶段。在宫颈癌或子宫内膜癌的分期中,评估与膀胱和直肠的关系以及阴道、宫旁组织和输尿管浸润情况非常重要。在卵巢癌的术前分期中,CT可以显示单侧或双侧卵巢肿瘤肿块的大小和形状,以及它们与盆腔器官和肠道的关系。尽管存在不可避免的局限性,但CT在妇科肿瘤诊断中起着至关重要的作用。

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Eur J Gynaecol Oncol. 1985;6(3):204-10.
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