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囊腺瘤

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Results: MR demonstrated capsule wall and papillary solid lesions in one case with cystic and solid lesions of hepatobiliary cystadenoma. Poly cystic form tan if different sine in sew case, capsule wall and septation was thick, part of capsule wall was obviously thickened and nodes form, intrahepatic bile duct was dilated, large poly-antrum cystic keen form structure in one case, capsule wall and septation were smooth, part of capsule wall was uniformly thicken, capsule wall, septation, mural nodus form and solid lesions in three cases wee all slightly hyperintense on T2WI and slightly hypointense on T1WI. Part of cyst fluid was hypointense on T2WI the diameter if tumor ranged from 3.4cm to 13.5cm. Part of capsule wall, septation, solid lesions and mural nodus west obviously enhanced in arterial phase in three cases, the extent of enhancement showed a little degrade in port vein phase, balance phase and delay phase, but dense to liver parenchyma at synchronization.

结果:3例肝内胆管囊腺瘤中1例呈囊实性结构,可见囊壁及乳头状实性肿块;1例为多个大小不等的多房囊状结构,囊壁及分隔光滑,囊壁局部明显增厚,有壁结节,周围见轻度的肝内胆管扩张;1例为巨大的多房囊状结构,囊壁及分隔光滑,局部均匀增厚;3例中的囊壁、分隔、壁结节及实性部分均呈T2WI稍高信号、T1WI稍低信号,囊内液性部分均呈T2WI高信号、T1WI低信号;肿瘤瘤体大小径线范围3.4~13.5cm.3例肝内胆管囊腺瘤中囊壁、分隔、实性肿块和壁结节动脉期均明显强化,门脉期、平衡期及延迟期强化程度略减低,强化程度均高于同期肝实质。

Multilocular cystadenomas have the typical MRI manifestations and MRI is valuable, whereas unilocular cystadenomas, having similar MRI findings with some other benign cystic lesion, are lack of enough features in MRI. However, thick irregular wall or septa in MRI might be helpful in differential diagnosis.

多房性囊腺瘤具有较典型的MRI表现,诊断不难;单房性囊腺瘤缺乏特异表现,囊壁强化是与其他囊性病变鉴别诊断的重要徵象,MRI检查对诊断有重要作用。

Methods CT appearances of 10 cases with cystadenoma and cystadenocarcinoma of the pancreas confirmed by clinic and pathology were retrospectively analyzed.

e#[摘要]目的:探讨胰腺囊腺瘤与囊腺癌的CT表现。方法:回顾性分析经手术及病理证实的10例胰腺囊腺瘤与囊腺癌的CT表现,总结其特征性表现。

MR may obviously demonstrate the entire image if hepatobiliary cystadenoma, the mural nodus form and corpora mammillaria solid lesions suggest canceration. Conventional MR sequences combine with dynamic enhancement and MRCP possese fairly diagnostic value to hepatobiliaty cystadenoma.

MR能明确显示肝内胆管囊腺瘤的整体影像的特征性表现,若囊壁上有结节或乳头状肿块提示局部有癌变,MR常规扫描结合动态增强及MRCP成像对肝内胆管囊腺瘤具有很高的诊断价值。

Results Of the 35 cases, there were 5 monolocular cysts and 30 multilocular cysts; 39 lesions were found, including 19 lesions in 15 serous cystadenomas and 20 lesions in 20 mucous cystadenomas. The cystic wall was generally thin and regular, and sometimes nodular. The multilocular cysts were multihole, broken netlike or polycircular, and showed the irregular signals, while the monolocular cysts showed the uniform signals.

结果 35例共有39个囊灶,其中15例浆液性囊腺瘤共有19个病灶(4例双侧卵巢发病);20例粘液性囊腺瘤均为单侧发病(包括交界性囊腺瘤3例)。5例为单囊病灶;30例为多囊多房性病灶,囊内有分隔,呈多房、破鱼网状、囊套囊状等,囊腺瘤囊壁一般较薄且规则,囊壁可有壁结节;单囊病灶信号均匀,多囊多房性病灶信号多不均匀。

The positve rates in serous carcinomas and borderline tumors were 39.3% and 55.6%, significantly lower than that in benign tumors and normal ovaries (P.05), but the statistical differences were not found between borderline tumors and serous carcinomas, benign tumors and normal ovaries.2 WWOX mRNA and protein expression in ovarin seruous tumors2.1 WWOX mRNA expression in ovarin seruous tumors The result of RT-PCR showed that WWOX mRNA expression were detected in 29 of 32 ovarian serous benign tumors, 12 of 16 ovarian serous borderline tumors, and 21 of 45 ovarian serous carcinomas respectively.

阳性条带密度扫描定量结果,卵巢浆液性癌中PTEN蛋白表达相对量为0.34±0.12比正常卵巢和浆液性囊腺瘤和交界性囊腺瘤明显降低(p.05),其余各组间无统计学差异。3.2.2 PTEN蛋白FCM检测结果FCM结果,卵巢浆液性癌PTEN蛋白表达的FI值(0.908±0.023)明显低于正常卵巢、卵巢囊腺瘤和交界性囊腺瘤的FI值,差异有统计学意义(P.05)。3.2.3 PTEN蛋白免疫组织化学结果35例浆液性囊腺瘤、18例交界性囊腺瘤和56例浆液性癌中,分别有31例、15例和29例呈阳性表达。

Results 531 cases postoperatively diagnosed as endometriotic cyst,254 cases teratoma,139 inflammatory masses,121 serous cystademona,67 cases mucinous cystadenoma,128 parovarian,140 simple ovarian cyst,3 cases brenner tumor,1 case borderline mucinous cystadenoma,1 case mucinous cystadenocarcinoma,1 case endometrioid carcinoma and 1 case malignant brenner tumor.

结果术后诊断卵巢内膜异位囊肿 5 3 1例、卵巢畸胎瘤 2 5 4例、炎性肿块 13 9例、卵巢浆液性囊腺瘤 12 1例、卵巢粘液性囊腺瘤 67例、输卵管系膜囊肿 12 8例、卵巢单纯性囊肿 14 0例、卵巢纤维上皮瘤 3例、粘液性交界性囊腺瘤 1例、粘液性囊腺癌 1例、卵巢子宫内膜样癌 1例、卵巢恶性纤维上皮瘤 1例。

Results 1 The incidence of parovarian cyst was 20.9% in all adnexal cysts.175 cases(91.62%) were pure cysts;15 cases(7.85%) were common epithelial ovarian tumors13 cases were serous cystadenoma;1 case was focal or junctional serous papillary cystadenoma;1 case wa...

结果191例卵巢冠囊肿患者中有175例(91.62%)为单纯囊肿;15例(7.85%)为上皮性囊肿(其中13例为浆液性囊腺瘤,1例为浆液性乳头状囊腺瘤灶性交界,1例为副中肾管源囊腺瘤、腺体增生并中重度非典型性增生);1例(0.53%)为高分化乳头状间皮瘤。

According to the composition of adenoma or morphological characteristics can be divided into cystadenoma adenoma, fibroadenoma, pleomorphic adenoma and polypoid adenoma type.

根据腺瘤的组成成分或形态特点,可将腺瘤分为囊腺瘤、纤维腺瘤、多形性腺瘤和息肉状腺瘤等类型。

Results:In this group there were 5 mucinous cystadenoma; 4 serous cystadenoma; 4 teratoma; 2 lager ovarian cyst; 4 subserous leiomyoma of uterine. The massive cystic-solid tumor with irregular cystic wall was seen in mucinous cystadenoma and serous cystadenoma; Teratoma appeared non homogenous density with fat density mass; Subserous leiomyoma of uterine showed large cystic tumor with clear edge, and the size of uterine was normal.

结果:5例卵巢浆液性囊腺瘤,4例黏液性囊腺瘤,CT表现为腹盆腔内巨大囊性或囊实性肿瘤,囊壁厚薄不均;4例卵巢畸胎瘤,CT表现为盆腔巨大肿瘤内部密度不均,可见脂肪密度影;卵巢巨大囊肿2例,CT表现为腹、盆内巨大单囊状肿物;4例浆膜下子宫肌瘤,CT表现为盆腔内巨大囊性肿物,边界清晰,子宫大小正常;1例阔韧带平滑肌瘤,CT表现为密度不均匀的实性肿物,增强扫描强化不均。

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