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目的探讨青少年卵巢肿瘤的CT表现和诊断价值。方法回顾性分析经手术和病理证实的29例青少年卵巢肿瘤的CT表现,并与手术、病理结果对照。结果29例中良性肿瘤18例,恶性肿瘤11例,其中生殖细胞肿瘤19例,占65.5%,上皮性肿瘤5例,占17.2%,非赘生性囊肿3例,占10.3%。性索间质肿瘤2例,占7%。CT显示囊性肿物17个,囊实性肿物6个,实性肿物10个。肿瘤合并出血者6个,肿瘤蒂扭转者5个;囊性肿物多见于良性肿瘤(17/20个,占85%),恶性肿瘤以实性肿物居多(9/13个,占69.2%)。结论CT对青少年卵巢肿瘤具有很高的诊断价值。
Objective To investigate the CT features and diagnostic value of adolescent ovarian tumors. Methods The CT findings of 29 cases of adolescent ovarian tumors confirmed by surgery and pathology were retrospectively analyzed. The results were compared with the surgical and pathological findings. Results Among the 29 cases, 18 were benign tumors and 11 were malignant tumors. Among them, 19 were germ cell tumors, accounting for 65.5%, 5 were epithelial tumors, accounting for 17.2%, and 3 were non-neoplastic cysts (10.3%). Sexual cord stromal tumor in 2 cases, accounting for 7%. CT showed cystic mass 17, cystic solid tumor 6, solid tumor 10. There were 6 cases of tumor with hemorrhage and 5 cases of tumor torsion. Cystic masses were more common in benign tumors (17/20, accounting for 85%), mostly malignant tumors (9/13, accounting for 69.2% ). Conclusion CT has a high diagnostic value in adolescent ovarian tumors.