Slanetz P J, Whitman G J, Halpern E F, Hall D A, McCarthy K A, Simeone J F
Department of Radiology, Massachusetts General Hospital, Boston 02114, USA.
AJR Am J Roentgenol. 1997 Nov;169(5):1321-4. doi: 10.2214/ajr.169.5.9353450.
The purposes of this study were to investigate the imaging findings in patients with primary fallopian tube neoplasms and to determine whether specific imaging features favor the preoperative diagnosis of fallopian tube tumors (FTT).
Computerized search of medical records from 1984 to 1994 identified 20 patients with a discharge diagnosis of primary fallopian tube carcinoma. Medical records, imaging studies, and pathology findings were reviewed. Eleven patients had available preoperative imaging.
Seventeen of 20 patients with primary FTT had unilateral disease. Of these 17, preoperative imaging was available in nine, showing four solid adnexal masses, four complex cystic adnexal masses, and one normal adnexa. The preoperative imaging of these nine patients included six sonographic and five CT studies. Three patients with primary FTT had bilateral tumors, and preoperative imaging was available for two patients: Two sonographic studies and one CT study showed one complex cystic adnexal mass and three normal adnexa.
Primary FTT commonly presents as an adnexal mass on preoperative imaging and mimics other pelvic malignancies, especially ovarian carcinoma. Making a specific preoperative diagnosis is difficult; however, because primary FTT is unlikely to be confused with a benign process, delay in diagnosis is rare.
本研究旨在探讨原发性输卵管肿瘤患者的影像学表现，并确定特定的影像学特征是否有助于输卵管肿瘤（FTT）的术前诊断。
通过计算机检索1984年至1994年的病历，确定了20例出院诊断为原发性输卵管癌的患者。对病历、影像学检查和病理结果进行了回顾。11例患者有术前影像学资料。
20例原发性FTT患者中有17例为单侧病变。在这17例中，9例有术前影像学资料，显示4例附件实性肿块、4例附件复杂囊性肿块和1例附件正常。这9例患者的术前影像学检查包括6例超声检查和5例CT检查。3例原发性FTT患者有双侧肿瘤，2例有术前影像学资料：2例超声检查和1例CT检查显示1例附件复杂囊性肿块和3例附件正常。
原发性FTT在术前影像学检查中通常表现为附件肿块，与其他盆腔恶性肿瘤相似，尤其是卵巢癌。术前做出明确诊断很困难；然而，由于原发性FTT不太可能与良性病变混淆，诊断延迟很少见。
