MRI诊断卵巢浆黏液性囊性腺纤维瘤临床案例分析

靳翠翠; 刘新顶; 邓玉辉; 赵德利

doi:10.15953/j.ctta.2024.332

MRI诊断卵巢浆黏液性囊性腺纤维瘤临床案例分析

哈尔滨医科大学附属第六医院影像中心，哈尔滨 150027

详细信息

作者简介:
靳翠翠，女，医师，主要从事妇儿方向影像诊断，E-mail：675929972@qq.com

通讯作者:
赵德利✉，男，主任医师，主要从事妇儿方向影像诊断；E-mail:5544783@qq.com。

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出版历程
- 收稿日期: 2024-12-28
- 修回日期: 2025-02-18
- 录用日期: 2025-03-09
- 网络出版日期: 2025-04-18

MRI Diagnosis of Ovarian Mucinous Cystic Fibroadenoma: Clinical Case Study

Imaging Center, the Sixth Affiliated Hospital of Harbin Medical University, Harbin 150027, China

摘要

摘要:
卵巢囊性腺纤维瘤（OCAF）是一种卵巢上皮来源少见的卵巢肿瘤，由卵巢表面的苗勒上皮和纤维间质细胞组成。临床发病少见，又以浆液性最为多见。本文报告1例浆黏液性囊性腺纤维瘤病例，76岁女性，以腹痛2年余，触及下腹包块8个月而就诊，MRI检查发现病变呈大小不等、信号不均的囊腔及实性成分T2WI明显低信号改变，影像诊断囊性腺纤维瘤；患者术后病理结果为浆黏液性囊性腺纤维瘤，术后随访良好。本文旨在对该疾病进行影像描述与总结，提高诊断的准确性。
- 磁共振成像 /
- 卵巢肿瘤 /
- 浆黏液性 /
- 囊性腺纤维瘤
Abstract:
Ovarian cystic adenofibroma is a rare ovarian tumor of epithelial origin and is composed of Mullerian epithelium and fibrostromal cells on the surface of the ovary. Its clinical incidence is rare, and serous is the most common. This article reports a case of mucinous cystic fibroadenoma in a 76-year-old female who presented abdominal pain for more than two years and a palpable mass in the lower abdomen for eight months. MRI resonance imaging revealed lesions of varying sizes, an uneven signal in the cystic cavity, and significantly low signal changes in the solid components on T2WI. Imaging diagnosis of cystic adenofibroma is performed. The post-operative pathological result of the patient indicates mucinous cystic fibroadenoma, and the post-operative follow-up is favorable. This article aims to provide an imaging description and summary of the disease to improve its diagnosis accuracy.
- magnetic resonance imaging /
- tumor ovarii /
- mucoplasmic /
- cystadenofibroma

HTML全文

图 1 浆黏液性囊性腺纤维瘤患者MRI图像

注：（a）~（j）矢状位及冠状位显示病变整体观，病变呈多房囊状，囊腔信号不均，呈“五彩玻璃”样；轴位显示病变实性成分呈“黑色海绵征”（红色箭头）及“地毯征”（黄色箭头）。DWI 实性病变未见弥散受限。

Figure 1. MRI image of a patient with mucinous cystic fibroadenoma

下载: 全尺寸图片幻灯片

图 2 浆黏液性囊性腺纤维瘤患者病理图像

注：红色箭头浆液性，黑色箭头黏液性。

Figure 2. Pathological images of patients with mucinous cystic fibroadenoma.

下载: 全尺寸图片幻灯片

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