Hamlin D J, Wilkinson E J, Morgan L S, Burgener F A, Weaver J W
Comput Radiol. 1984 Mar-Apr;8(2):79-83. doi: 10.1016/0730-4862(84)90066-0.
We describe the CT appearances of a fairly commonly encountered "special variant" carcinoma of the uterine corpus called uterine papillary serous carcinoma ( UPSC ). UPSC closely resembles ovarian papillary serous carcinoma microscopically but CT with contrast can differentiate between these two entities. In addition CT in this patient clearly showed the characteristic spread mode of this particularly aggressive form of endometrial carcinoma. Because UPSC has a significantly higher relapse rate than other histologic types of endometrial carcinoma it is important to recognize it at the time of the CT staging procedure. The spread pattern of UPSC suggests the need for adjuvant irradiation or chemotherapy.
我们描述了一种相当常见的子宫体“特殊变异型”癌——子宫乳头状浆液性癌（UPSC）的CT表现。UPSC在显微镜下与卵巢乳头状浆液性癌极为相似，但增强CT能够区分这两种病变。此外，该患者的CT清晰显示了这种侵袭性特别强的子宫内膜癌的特征性扩散方式。由于UPSC的复发率明显高于其他组织学类型的子宫内膜癌，在CT分期检查时识别它很重要。UPSC的扩散模式提示需要辅助放疗或化疗。
