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妇科肿瘤的计算机断层扫描评估

Computer-tomographic evaluation of gynecologic tumors.

作者信息

Kormano M, Grönroos M

出版信息

Acta Obstet Gynecol Scand. 1984;63(6):509-16. doi: 10.3109/00016348409156711.

DOI:10.3109/00016348409156711
PMID:6507053
Abstract

The accuracy of contrast-enhanced computer tomography (CT) of the pelvis in the detection, characterization and staging of known or suspected pelvic tumors was compared with clinical and operative findings in a prospective study of 79 patients (25 cervical carcinomas, 27 endometrial carcinomas, 10 ovarian carcinomas, 4 vulval or vaginal carcinomas and 13 benign ovarian or uterine tumors). In cervical carcinoma, there was a tendency towards lower staging of the tumor, especially in stage IIa, which is not easily detected in CT. Even small tumors of the cervix and endometrium can be visualized by contrast enhancement, which clearly delineates heavily vascularized myometrium and less enhancing tumor tissue. The accuracy of CT in tumor detection, characterization and evaluation of spread was best in ovarian neoplasms, weakest in cervical carcinomas. The importance of proper CT technique is stressed.

摘要

在一项对79例患者(25例宫颈癌、27例子宫内膜癌、10例卵巢癌、4例外阴或阴道癌以及13例卵巢或子宫良性肿瘤)的前瞻性研究中,将盆腔增强计算机断层扫描(CT)在已知或疑似盆腔肿瘤的检测、特征描述及分期方面的准确性与临床及手术结果进行了比较。在宫颈癌中,存在肿瘤分期较低的倾向,尤其是在IIa期,这在CT中不易被检测到。即使是宫颈和子宫内膜的小肿瘤也可通过增强扫描显影,这能清晰勾勒出血管丰富的肌层以及强化程度较低的肿瘤组织。CT在肿瘤检测、特征描述及扩散评估方面的准确性在卵巢肿瘤中最佳,在宫颈癌中最差。强调了正确CT技术的重要性。

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Computer-tomographic evaluation of gynecologic tumors.妇科肿瘤的计算机断层扫描评估
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CT and MRI of ovarian cancer.卵巢癌的CT与MRI检查
Abdom Imaging. 1995 Jan-Feb;20(1):2-8. doi: 10.1007/BF00199633.