双侧卵巢特殊影像形态库肯勃格瘤1例

Specific radiographic signs of bilateral ovary in patient with Krukenberg tumor: A case report

  • 摘要: 目的 报道1例双侧卵巢特殊影像形态库肯勃格瘤病例。 方法 回顾解放军总医院2016年12月收治的1例胃癌卵巢转移患者临床病理及影像学资料,总结分析其影像学特殊性及鉴别诊断方法。 结果 本例患者以“腹部可触及性包块”为首发症状,于解放军总医院明确诊断为“胃癌,库肯勃格瘤”并行手术治疗。术前影像学检查提示双侧卵巢呈现“晕环征”、“轨道征”、“管状征”等特殊征象。 结论 库肯勃格瘤影像学上常表现为结节状或分叶状实性肿瘤,本例库肯勃格瘤影像形态特殊,对于库肯勃格瘤的诊断及鉴别诊断具有重要参考意义。

     

    Abstract: Objective To report a case with special imaging signs of bilateral ovary with Krukenberg tumor. Methods The clinicopathologic and imaging data of one patient with ovarian metastasis from gastric cancer who was admitted to Chinese PLA General Hospital in December 2016 were reviewed, and the particularity of imaging data and differential diagnosis were analyzed. Results The patient admitted to local hospital because of abdominal palpable mass. He was fi nally diagnosed as "gastric cancer, Krukenberg tumor" in Chinese PLA General Hospital followed by surgical treatment. Preoperative imaging examination showed halo ring sign of bilateral ovaries. Conclusion Krukenberg tumor usually presents as nodular or lobulated solid tumor on MRI imaging. However, the imaging features of this Krukenberg tumor are specific, which is of great significance for the diagnosis and differential diagnosis of Krukenberg tumor.

     

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