良性转移的平滑肌瘤的CT表现.pdfVIP

532 放射学实践 2012 竿 5 月第 27 卷第 5 期 Radiol Practice. May 2012. Vol 27. :10.5 ·腹部影像学· 良性转移的平滑肌瘤的 CT 表现 谭国强，龙晚生，马雁秀，周伟，兰勇，张朝桐，胡茂清 E摘要】 目的z 探讨良性转移性乎滑肌霜的影像学表现。方法:回顾性分析 12 例子宫外平滑肌瘾的 CT 表现，并与病 理结果进行对照分析a 结果:所有病例均有子宫平滑肌癌手术支. 1 例播散性!i.膜平滑肌瘤病表现为肝脏、脾脏、腹膜及 盆腔乡农结节。 l 例静脉肉平滑肌瘪病并且且腹腹后转移 .CT 示锥静脉及下腔静脉扩张，增强扫描示腔内充盈缺损。 3 例 腹膜后转移，表现为腹膜后单发囊实性结节或囊性结节，增强扫描示强化不均或企壁强化. 2 例肺转移分别表现为多发囊 性结节和金实性肿块，增强后囊壁强化均匀或不均. 4 ~如j 寄生性平滑肌痛表现为盆且室内与子宫相隔多发实性肿块，平扫豆 等密度，强化均匀。 l 例腹壁平滑肌瘤表现为腹壁贪实性肿块，增强后强化不均匀。结论:有子宫平滑肌瘤子术病史的女 性，出现局部病变或转移性病变时，应考虑到子宫平滑肌瘤转移可能。 E美键词】 子宫肿瘪;平滑肌瘤;肿痛转移;体层摄影术.X 线计算机 E 中图分类号] R737.33; R814.42 [文献标识码] A [文章编号】 1000-0313 (2012)05-0532-04 CT manif，四，tations of benign metastasizing leiomyoma TAN Guo-qiang , LONG Wan-sheng ,MA Yan-xiu. et al. Department 。f Radiology.Jiangmen Central Hospital.Guangdong 529071.P. R. China [Abstractl Obj配tive: To explore the imaging manifestations of benign metastasizing leiomyoma. Meth创s: Twelve ca- ses of benign metasta8izing leiomyoma confirmed by pathology were analyzed through their imaging features. R西ults: AII ca se5 had surgical documentations of ute rÍne leiomyoma. One ca5e ,being leiomyomatosis peritonealis dissemina钮， showed mul tiple nodules in the liver ,spleen pelvis and peritoneum. One case.of intravenous leiomyomatosis associated with retroperito- neal space metastasis. showed the dilatation of vena iliaca and IVC. Contrast 8cans showed the filling defects in the IVC. Three cases of retroperitoneal space metastasis.showed single cystic- solid type or cystic type nodus. On contrast scans.they showed inhomogeneous enhancement or capsular wall enhancement. Tw。由ses of pulmonary lesions ,shwoed multiple cystic type and cystic- solid type tumors. on contrast scans. it sh