右侧卵巢上皮样血管肉瘤1例
Chinese Journal of Medical Imaging Technology（2023）
Abstract
患者女,49岁,月经紊乱伴下腹痛3个月,伴心慌、气短、乏力、体质量下降;既往无特殊病史.查体:右侧附件区触及直径9 cm包块,质硬,活动度差,压痛(+).肿瘤标记物:CA125216 U/ml,CA199 317 U/ml.盆腔超声:右侧附件区 7.7 cm× 9.6 cm×7.4 cm实性低回声团块,盆腔探及液性暗区.腹部CT:右侧附件区9.1 cm×8.3 cm×8.0 cm不规则软组织密度肿物,紧邻膀胱上壁、子宫底部及乙状结肠,内见多发小片状低密度影(图1A);肿瘤由右侧卵巢动脉分支供血,增强后呈明显不均匀渐进性强化,呈"菜花样"改变(图1B、1C).
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