CT引导下碘125粒子治疗盆腔平滑肌肉瘤1例
Journal of China Clinic Medical Imaging（2019）
Abstract
病例 女,51岁.因“右下肢肿胀3月,右下腹痛2月”人我院妇产科.行全腹CT提示:盆腔右侧髂外静脉局部可见不规则软组织肿块,分叶状,大小约3.8 cm×4.5 cm,边界清楚,与右侧髂外静脉关系密切.软组织肿块不均匀强化(图1).MR提示:右侧附件区可见不规则团块影,T1等信号T2稍低信号,其内信号欠均匀,增强扫描可见明显强化,周围组织略受压,病灶内可见分割及无强化区(图2).因病灶包裹血管无法手术治疗,行盆腔肿物穿刺活检术,病理结果回报前为控制肿瘤进展,给予紫杉醇150 mg/dl+洛铂20 mg/dl化疗一次.
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