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目的:总结20例经手术病理证实的卵巢癌CF表现,探讨CT对卵巢癌分期的作用。材料和方法:回顾分析20例卵巢癌的CT检查,平扫12例,平扫加增强8例,全腹扫描14例,盆腔扫描6例。结果:双侧病变11例,单侧病变9例;囊实性17例,实性3例;腹水19例;仅2例局限于卵巢,其余病例均有周围浸润及腹腔转移。I、Ⅱ期各2例,Ⅲ期12例,Ⅳ期4例。结论:卵巢癌的准确CT诊断及分期,对术前、术中的恰当处理及术后辅助治疗方案的制定有重要意义。
OBJECTIVE: To summarize the clinical manifestations of 20 cases of ovarian cancer confirmed by pathology and to explore the role of CT in the staging of ovarian cancer. Materials and Methods: A retrospective analysis of 20 cases of ovarian cancer by CT examination, plain scan in 12 cases, 8 cases of plain and enhanced, 14 cases of total abdominal scan, pelvic scan in 6 cases. Results: Bilateral lesions in 11 cases, unilateral lesions in 9 cases; cystic solidity in 17 cases, solid in 3 cases; ascites in 19 cases; only 2 cases were localized in the ovary, and the remaining cases were peripheral infiltration and peritoneal metastasis. 2 cases in stage I and II, 12 cases in stage III and 4 cases in stage IV. Conclusion: The accurate CT diagnosis and staging of ovarian cancer is of great significance to the preoperative and intraoperative proper treatment and the postoperative adjuvant therapy.