The Value of Spiral CT Contrast Enhanced Scanning in the Diagnosis of Endometrial Carcinoma_West China Medical Journal

Authors：

LIN Yun , HUANG Shuihe.

Department of Radiology, Chengdu Women and Children Center Hospital, Chengdu, Sichuan 610091, P. R. China;

Corresponding author：

Keywords：

子宫内膜癌; 体层摄影术，X线计算机

DOI：

10.7507/1002-0179.20130126

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的　探讨螺旋CT增强扫描在子宫内膜癌的表现和分期价值。方法　2004年3月－2010年2月对40例子宫内膜癌术前均行CT平扫和增强扫描，并按世界妇产科联合会（FIGO）标准进行术前CT分期，且均经手术和病理证实。结果　子宫内膜癌增强CT主要表现为：子宫前后径增大，子宫内膜增厚，宫腔扩大，其内可见强化程度低于子宫肌壁的乳头状、息肉状或不规则状软组织影，部份可见宫腔积液、积血或积脓；或子宫肌壁变薄、厚薄不均或不规则，宫颈增大、密度变低或不均；子宫外播散等相关表现。FIGO分期：Ⅰa期6例，Ⅰb期8例，Ⅰc期8例，Ⅱ期8例，Ⅲ期4例，Ⅳ期6例。其中2例Ⅰa期高估为Ⅰb期，3例Ⅱa期高估为Ⅱb期，2例Ⅱ期低估为Ⅰ期。Ⅰ、Ⅱ期CT分期准确率分别为81.82％、37.5%，Ⅲ、Ⅳ期诊断均正确，总准确率为82.5%。结论　螺旋CT增强扫描对子宫内膜癌的诊断和分期均有价值。

Citation： LIN Yun,HUANG Shuihe.. The Value of Spiral CT Contrast Enhanced Scanning in the Diagnosis of Endometrial Carcinoma. West China Medical Journal, 2013, 28(3): 401-403. doi: 10.7507/1002-0179.20130126 Copy

1.	Kinkel LA, Kaji Y, Kyle KY, et al. Radiologic staging in patients with endometrial cancer: A Meta–analysis[J]. Radiology, 1999, 212(3): 711-718.
2.	张玉忠, 张雪林, 王劲, 等. CT在子宫内膜癌诊断中的作用[J].临床放射学杂志, 2001, 20(3): 203.
3.	Janus CL, Wivzky HP, Laufer N. Mangnetic resonance of the menstrual cycle[J]. Magn Reson Imaging, 1988, 6(3): 669-674.
4.	Hardesty LA, Sumkin JH, Nath ME, et al. Use of preoperative MR imaging in the management of endometrial carcinoma: cost-analysis[J]. Radiology, 2000, 215(1): 45-49.
5.	Walsh JW. Computed tomography of gynecologic neoplasms[J]. Radiol Clini North Am, 1992, 30(4): 817-830.
6.	成令忠. 组织学[M]. 2版.北京: 人民卫生出版社, 1993: 1427.
7.	乐杰.妇产科学[M].4版.北京: 人民卫生出版社, 1997: 293-295.
8.	陈宇, 吴永彦, 张娴, 等.子宫内膜癌18例CT影像学表现[J].贵州医药, 2011, 35(4): 370.
9.	曹永英.子宫内膜癌的CT诊断[J].中外健康文摘, 2011, 8(8): 64.
10.	江艳, 赵云, 周军.子宫内膜癌影像诊断新进展[J].医学综述, 2009, 15(23): 3651.
11.	彭卫军, 蒋朝霞.影像学诊断方法在妇科肿瘤中的应用[J].中国癌症杂志, 2012, 22(6): 444.
12.	Torricelli P, Ferraresi S, Fiocchi F, et al. 3-T MRI in the preoperative evaluation of depth of myometrial infiltration in endometrial cancer[J]. AJR Am J Roentgenol, 2008, 190(2): 489-495.
13.	邝菲, 任静, 宦怡.子宫内膜癌的功能磁共振研究进展[J].放射学实践, 2012, 27(4): 466-468.
14.	Sala E, Crawford R, Senior E, et al. Added value of dynamic contrast-enhanced magnetic resonance imaging in predicting advanced stage disease in patients with endometrial carcinoma[J]. Int J Gynecol Cancer, 2009, 19(1): 141-6.
15.	Kitajima K, Murakami K, Yamasaki E, et al. Accuracy of 18F-FDG PET/CT in detecting pelvic and paraaortic lymph node metastasis in patient with endometrial cancer[J]. AJR Am J Roentgenol, 2008, 190(6): 1652-8.
16.	Lee SI, Russell AH. Performance of 18F-FDG PET/CT in endometrial cancer[J]. AJR Am J Roentgenol, 2008, 191(5): W210.

1. 　Kinkel LA, Kaji Y, Kyle KY, et al. Radiologic staging in patients with endometrial cancer: A Meta–analysis[J]. Radiology, 1999, 212(3): 711-718.
2. 　张玉忠, 张雪林, 王劲, 等. CT在子宫内膜癌诊断中的作用[J].临床放射学杂志, 2001, 20(3): 203.
3. 　Janus CL, Wivzky HP, Laufer N. Mangnetic resonance of the menstrual cycle[J]. Magn Reson Imaging, 1988, 6(3): 669-674.
4. 　Hardesty LA, Sumkin JH, Nath ME, et al. Use of preoperative MR imaging in the management of endometrial carcinoma: cost-analysis[J]. Radiology, 2000, 215(1): 45-49.
5. 　Walsh JW. Computed tomography of gynecologic neoplasms[J]. Radiol Clini North Am, 1992, 30(4): 817-830.
6. 　成令忠. 组织学[M]. 2版.北京: 人民卫生出版社, 1993: 1427.
7. 　乐杰.妇产科学[M].4版.北京: 人民卫生出版社, 1997: 293-295.
8. 　陈宇, 吴永彦, 张娴, 等.子宫内膜癌18例CT影像学表现[J].贵州医药, 2011, 35(4): 370.
9. 　曹永英.子宫内膜癌的CT诊断[J].中外健康文摘, 2011, 8(8): 64.
10. 　江艳, 赵云, 周军.子宫内膜癌影像诊断新进展[J].医学综述, 2009, 15(23): 3651.
11. 　彭卫军, 蒋朝霞.影像学诊断方法在妇科肿瘤中的应用[J].中国癌症杂志, 2012, 22(6): 444.
12. 　Torricelli P, Ferraresi S, Fiocchi F, et al. 3-T MRI in the preoperative evaluation of depth of myometrial infiltration in endometrial cancer[J]. AJR Am J Roentgenol, 2008, 190(2): 489-495.
13. 　邝菲, 任静, 宦怡.子宫内膜癌的功能磁共振研究进展[J].放射学实践, 2012, 27(4): 466-468.
14. 　Sala E, Crawford R, Senior E, et al. Added value of dynamic contrast-enhanced magnetic resonance imaging in predicting advanced stage disease in patients with endometrial carcinoma[J]. Int J Gynecol Cancer, 2009, 19(1): 141-6.
15. 　Kitajima K, Murakami K, Yamasaki E, et al. Accuracy of 18F-FDG PET/CT in detecting pelvic and paraaortic lymph node metastasis in patient with endometrial cancer[J]. AJR Am J Roentgenol, 2008, 190(6): 1652-8.
16. 　Lee SI, Russell AH. Performance of 18F-FDG PET/CT in endometrial cancer[J]. AJR Am J Roentgenol, 2008, 191(5): W210.

West China Medical Journal

The Value of Spiral CT Contrast Enhanced Scanning in the Diagnosis of Endometrial Carcinoma

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content