期刊文献+

子宫肉瘤的超声征象与病理学对照研究 被引量:15

Uterine sarcomas:comparing sonographic characteristics with pathologic features
在线阅读 下载PDF
导出
摘要 目的探讨子宫肉瘤的彩色多普勒超声声像图特点、病理学基础及超声诊断价值。方法回顾性分析60例经病理证实的子宫肉瘤超声表现,总结病变数目、位置、形态、边界、液化、结构及内部回声类型等超声征象,结合病理结果探讨病理学基础。结果超声显示的病灶体积、形态及结构与病理大体一致性好,单发、边界模糊、不规则形态、蜂窝样结构及囊性变是较为典型的超声征象;超声征象与病变组织学类型、分化程度及临床分期密切相关。结论子宫肉瘤声像图表现与病理组织学特征密切相关,超声对典型子宫肉瘤的诊断具有明确的临床应用价值。 Objective To investigate the correlation of ultrasonographic (US) characteristics and pathologic features for uterine sarcoma and determine the diagnostic value of ultrasonography. Methods Retrospectively analyzed the ultrasonographic features of 60 uterine sarcomas, including the number, location, morphology, margin, liquefaction, structure and echo pattern of tumors. Sonographic findings were compared with histological results and their correlation was discussed. Results The size, shape and texture of the tumors on US imaging were well associated with the macroscopic configuration. Large, solitary lesion, ill-defined irregular shape, honeycombed heterogeneous echo -pattern and scattered cystic areas were valuable ultrasonographic signs of uterine sarcomas. Correlation was found between the histological typing, grading, staging of sarcoma and the size of the tumor. Conclusion The ultrasonographic appearance of uterine sarcoma is well correlated to pathologic characteristics. Ultrasonography is valuable for the diagnosis of uterine sarcoma.
出处 《中国医学影像技术》 CSCD 北大核心 2006年第10期1588-1591,共4页 Chinese Journal of Medical Imaging Technology
关键词 超声检查 子宫肿瘤 病理组织学 Ultrasonography Uterine neoplasms Histopathology
  • 相关文献

参考文献17

  • 1Pautier P,Genestie C,Rre A,et al.Analysis of clinicopathologic prognostic factors for 157 uterine sarcoma and evaluation of grading score validated for soft tissue sarcoma[J].Cancer,2000,88(6):1425-1431.
  • 2Silverberg SG,Kurman RJ,Nogales F,et al.Tumors of the uterine corpus[M].In:Tavassoli FA,Deville P,ed.Pathology and genetics of tumors of the breast and female genital organs.Lyon,France:IARC Press,2003:221-232.
  • 3Pettersson F.FIGO annual report on the results of treatment in gynecologic cancer:cancer of the corpus uteri[M].Stockholm,Sweden:International Federation of Gynecology and Obstetrics,1995:169-199.
  • 4Charles Z,Micheal RH.Mesenchymal tumors of the uterus.In:Kruman RJ,ed.Blaustein's pathology of the female genital tract[M].5th ed.New York:Springer-Verlag,2002:501-561.
  • 5Ueda M,Otsuka M,HataKenaka M,et al.MRI findings of uterine endometrial stromal sarcoma:differentiation from endometrial carcinoma[J].Eur Radiol,2001,11(1):28-33.
  • 6Bidzinski M,Lemieszczuk B.The value of transvaginal ultrasonography (TVS) in the assessment of myometrial and cervical invasion in corpus uterine neoplasm[J].Eur J Gynaecol Oncol,1993,14(Suppl):86-91.
  • 7Makoto E,Toshihiro U,Machi K,et al.Neovascularization of uterine carcinosarcoma:report of two cases analyzed by color Doppler ultrasonography and microvessel density[J].J Ultrasound Med,1999,18(4):315-319.
  • 8Yoshida Y,Kurokawa T,Fukuno N,et al.Markers of apoptosis and angiogenesis indicate that carcinomatous components play an important role in the malignant behavior of uterine carcinosarcoma[J].Hum Pathol,2000,31(12):1448-1454.
  • 9Toprak U,Pasaoglu E,Karademir MA,et al.Sonographic,CT and MRI findings of endometrial stromal sarcoma located in the myometrium and associated with peritoneal inclusion cyst[J].AJR,2004,182(6):1531-1533.
  • 10Koyama T,Togashi K,Konishi I,et al.MR imaging of endometrial stromal sarcoma:correlation with pathologic findings[J].AJR,1999,173(3):767-772.

二级参考文献10

  • 1刘彤华 孙爱达 等.子宫肉瘤.林巧稚妇科肿瘤学[M].北京:人民卫生出版社,1994.428-448.
  • 2金莉 赵孟琳 等.B超诊断巨大液化性子宫肉瘤3例报告[J].中国超声医学杂志,1997,(6):416-416.
  • 3俞雯 王军燕 等.115例妇科肿瘤彩色多普勒技术分析[J].中国超声医学杂志,1993,4(9):244-244.
  • 4[1]Cabra Zurita R, Ruiz Moreno JA, Kably Ambe A. Uterine sarcoma. Analytic study of 37 cases. Gynecol Obstet Mex, 1998, 66:164
  • 5[2]Bokhman IV, Urmancheeva AF, Neustadt EL, Kutusheva GF. Clinical and morphologic diagnosis of uterine sarcoma. Vopr Onkol, 1998, 44:2,175
  • 6[3]Cappuccini F, Tewari K, Fuller PN, et al. Aggressive clinical behavior of a rare utrine sarcoma. Gynecol Oncol, 1998, 70(1):147
  • 7[4]Emoto M, Iwasaki H, Ishiguro M, et al. Angiogenesis in carcinosarcomas of the uterus: differences in the microvessel density and expression of vascular endothelial growth factor between the epithlial and mesenchymal elements.Hum Pathol, 1999, 30(10): 1232
  • 8金莉,中国超声医学杂志,1997年,6期,416页
  • 9刘彤华,林巧稚妇科肿瘤学,1994年,428页
  • 10俞雯,中国超声医学杂志,1993年,4卷,9期,244页

共引文献16

同被引文献96

引证文献15

二级引证文献53

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部