临床小儿外科杂志2016，Vol.15Issue(4)：411-413,415,4.DOI:10.3969/j.issn.1671-6353.2016.04.029
儿童盆腔卵黄囊瘤的64层螺旋 CT 诊断与临床病理对照分析
Multi-slice computed tomography diagnosis and clinicopathological characteristics of ovarian yolk sac tumor
李晓明 1邓敏 2向进 1李君伟 1李殊明 1金科1
作者信息
- 1. 湖南省儿童医院放射科 湖南省长沙市，410007
- 2. 南华大学儿科学院 湖南省长沙市，410007
- 折叠
摘要
Abstract
Objetive To explore the clinicopathological characteristics of children's pelvic yolk sac with 64-slice spiral computed tomography (CT)to improve its diagnostic level. Methods Retrospective analyses were performed for clinical data of children with pathologically confirmed pelvic yolk sac tumor.Preoperative pelvic CT scan and enhanced scan were performed. Results There were 21 girls and 15 boys with an average age of (18 ±15)(3 ~87)months.The major clinical manifestations included abdominal distension,abdominal mass and mass of caudal region.The level of alpha fetal protein (AFP)increased significantly in 33 cases while another 1 case had an AFP value of 2.2 ng/mL.And 18 /34 cases were derived from pelvic cavity and 16 cases were located in peritoneal cavity.CT revealed solid and cystic masses and mostly cystic components.The maximal diameter of tumor was 2.8 ~10.7 cm.Common necrotic cystic lesions with calcification became une-venly enhanced.And the level of AFP had no obvious correlation with mass size or site. Conclusions Pelvic yolk sac tumor has some clinical manifestations and unique CT findings.And combined use of CT and AFP may facilitate its definite diagnosis and proper treatments.关键词
内胚层窦瘤/体层摄影术,X 线计算机/儿童Key words
Endodermal Sinus Tumor/Tomography,X-Ray Computed/Child引用本文复制引用
李晓明,邓敏,向进,李君伟,李殊明,金科..儿童盆腔卵黄囊瘤的64层螺旋 CT 诊断与临床病理对照分析[J].临床小儿外科杂志,2016,15(4):411-413,415,4.
