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中华妇幼临床医学杂志(电子版) ›› 2015, Vol. 11 ›› Issue (01) : 90 -94. doi: 10.3877/cma.j.issn.1673-5250.2015.01.021

所属专题: 文献

综述

卵巢恶性肿瘤的影像学诊断进展
陈荟竹1, 王梦甜1   
  1. 1. 610041 成都,四川大学华西第二医院放射科
  • 收稿日期:2014-10-10 修回日期:2015-01-02 出版日期:2015-02-01

Diagnosis progress of malignant tumor of ovary in imageology

Huizhu Chen1, Mengtian Wang1   

  1. 1. Department of Radiology, West China Second University Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
  • Received:2014-10-10 Revised:2015-01-02 Published:2015-02-01
  • About author:
    Corresponding author: Ning Gang, Email:
引用本文:

陈荟竹, 王梦甜. 卵巢恶性肿瘤的影像学诊断进展[J]. 中华妇幼临床医学杂志(电子版), 2015, 11(01): 90-94.

Huizhu Chen, Mengtian Wang. Diagnosis progress of malignant tumor of ovary in imageology[J]. Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition), 2015, 11(01): 90-94.

卵巢癌是妇科恶性肿瘤中严重威胁女性健康的一种疾病,起病隐匿、发展快,导致的患者死亡率高,早期诊断和早期治疗可显著提高患者生存率。笔者主要关注超声、CT、MRI及正电子发射计算机断层显像(PET)/CT等影像学检查方法在卵巢癌诊断、临床分期及术后随访中应用价值的研究进展,进行综述如下。

Ovarian cancer is the leading cause of death among gynecological malignancies, with its asymptomatic and rapid disease progression. Early diagnosis and correct treatment can significantly improve ovarian cancer patients' survival. In this article, we will describe the application of ultrasonography, CT, MRI and positron emission tomography (PET)/CT in the diagnosis, staging and follow-up of ovarian cancer.

表1 2014年卵巢癌、输卵管癌及原发性腹膜癌TNM分类和FIGO分期系统
Table 1 2014 TNM and FIGO staging classification system for ovarian, fallopian tube and peritoneal cancer
TNM分类 FIGO临床分期 临床表现
T1-N0-M0 肿瘤局限于卵巢或输卵管
T1a-N0-M0 A 肿瘤局限于单侧卵巢(包膜完整)或输卵管,其表面无肿瘤,腹水或腹腔冲洗液中无恶性肿瘤细胞
T1b-N0-M0 B 肿瘤局限于双侧卵巢(包膜完整)或输卵管,其表面无肿瘤,腹水或腹腔冲洗液中无恶性肿瘤细胞
T1c-N0-M0 C 肿瘤局限于单侧或双侧卵巢或输卵管,并且有以下(ⅠC1~ⅠC3)情况之一:
T1c1-N0-M0 C1 手术导致肿瘤包膜破裂
T1c2-N0-M0 C2 手术前肿瘤包膜已破裂或卵巢、输卵管表面有肿瘤
T1c3-N0-M0 C3 腹水或腹腔冲洗液发现癌细胞
T2-N0-M0 肿瘤累及单侧或双侧卵巢或输卵管并伴盆腔播散(骨盆入口平面以下)或原发性腹膜癌
T2a-N0-M0 A 肿瘤蔓延至或种植到子宫和(或)输卵管和(或)卵巢
T2b-N0-M0 B 肿瘤蔓延至其他盆腔内组织
T1/T2-N1-M0 肿瘤累及单侧或双侧卵巢、输卵管或原发性腹膜癌,伴有细胞学或组织学证实的盆腔外腹膜转移或证实存在腹膜后淋巴结转移
T3a1-N1-M0 A1 仅有腹膜后淋巴结阳性(细胞学或组织学证实)
? A1(i) 转移灶最大直径≤10 mm
? A1(ii) 转移灶最大直径>10 mm
T3a2-N0/N1-M0 A2 显微镜下盆腔外腹膜受累,伴或不伴腹膜后阳性淋巴结
T3b-N0/N1-M0 B 盆腔外腹膜腔内肉眼可见转移,但转移灶最大径≤2 cm,伴或不伴腹膜后阳性淋巴结
T3c-N0/N1-M0 C 盆腔外腹膜腔内肉眼可见转移,转移灶最大径>2 cm,伴或不伴腹膜后阳性淋巴结(包括肿瘤蔓延至肝包膜和脾,但无转移到实质脏器证据)
? 腹膜转移外的远处转移
任何T,任何N A 胸腔积液中发现癌细胞
M1 B 腹腔外实质器官转移(包括肝实质转移和腹股沟淋巴结、腹腔外阳性淋巴结)
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