Chinese Medical E-ournals Database

Chinese Journal of Obstetrics & Gynecology and Pediatrics(Electronic Edition) ›› 2015, Vol. 11 ›› Issue (01): 90 -94. doi: 10.3877/cma.j.issn.1673-5250.2015.01.021

Special Issue:

Review

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:

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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