卵巢丨左侧卵巢黏液性囊腺癌
![](http://pic.ikafan.com/imgp/L3Byb3h5L2h0dHBzL2ltYWdlMTA5LjM2MGRvYy5jbi9Eb3dubG9hZEltZy8yMDIwLzExLzI3MDIvMjA4NDI0MTU0XzNfMjAyMDExMjcwMzAyMDIzMDY=.jpg)
![](http://pic.ikafan.com/imgp/L3Byb3h5L2h0dHBzL2ltYWdlMTA5LjM2MGRvYy5jbi9Eb3dubG9hZEltZy8yMDIwLzExLzI3MDIvMjA4NDI0MTU0XzRfMjAyMDExMjcwMzAyMDI5MzE=.jpg)
![](http://pic.ikafan.com/imgp/L3Byb3h5L2h0dHBzL2ltYWdlMTA5LjM2MGRvYy5jbi9Eb3dubG9hZEltZy8yMDIwLzExLzI3MDIvMjA4NDI0MTU0XzVfMjAyMDExMjcwMzAyMDM1NTY=.jpg)
![](http://pic.ikafan.com/imgp/L3Byb3h5L2h0dHBzL2ltYWdlMTA5LjM2MGRvYy5jbi9Eb3dubG9hZEltZy8yMDIwLzExLzI3MDIvMjA4NDI0MTU0XzZfMjAyMDExMjcwMzAyMDQxOTc=.jpg)
![](http://pic.ikafan.com/imgp/L3Byb3h5L2h0dHBzL2ltYWdlMTA5LjM2MGRvYy5jbi9Eb3dubG9hZEltZy8yMDIwLzExLzI3MDIvMjA4NDI0MTU0XzdfMjAyMDExMjcwMzAyMDQ5NDc=.jpg)
![](http://pic.ikafan.com/imgp/L3Byb3h5L2h0dHAvaW1hZ2UxMDkuMzYwZG9jLmNuL0Rvd25sb2FkSW1nLzIwMjAvMTEvMjcwMi8yMDg0MjQxNTRfOF8yMDIwMTEyNzAzMDIwNTc0Mw==.jpg)
![](http://pic.ikafan.com/imgp/L3Byb3h5L2h0dHAvaW1hZ2UxMDkuMzYwZG9jLmNuL0Rvd25sb2FkSW1nLzIwMjAvMTEvMjcwMi8yMDg0MjQxNTRfOV8yMDIwMTEyNzAzMDIwNjI0Mw==.jpg)
![](http://pic.ikafan.com/imgp/L3Byb3h5L2h0dHAvaW1hZ2UxMDkuMzYwZG9jLmNuL0Rvd25sb2FkSW1nLzIwMjAvMTEvMjcwMi8yMDg0MjQxNTRfMTBfMjAyMDExMjcwMzAyMDcyNTk=.jpg)
![](http://pic.ikafan.com/imgp/L3Byb3h5L2h0dHAvaW1hZ2UxMDkuMzYwZG9jLmNuL0Rvd25sb2FkSW1nLzIwMjAvMTEvMjcwMi8yMDg0MjQxNTRfMTFfMjAyMDExMjcwMzAyMDc2MzQ=.jpg)
讨论
纳木错:盆腔囊实影肿块,呈多囊状,壁增厚,内密度不均,增强壁及实性不均匀轻度强化,大量腹水,无内分泌改变症状,考虑交界性粘液性囊腺瘤
汪鑫斌:腹腔占位,多发,腹水,考虑恶性,粘液性囊腺癌>阑尾粘液腺癌转移
利:年轻女性,大量腹水,实性病灶内多发囊变,考虑颗粒细胞瘤(幼年型)
心静思远:左侧附件区囊实性肿块,形态上规则,囊壁及间隔均,左侧卵巢静脉增粗,增强分隔及囊壁及实性成分强化,大量腹水,年轻女孩,考虑青少年型颗粒细胞瘤。鉴别,囊腺癌(形态多不规则,囊壁及囊内间隔厚薄不均,常有壁结节,易发生种植转移)
张文坦:盆腔囊实性肿块,左侧卵巢静脉增粗,定位左侧附件,呈海绵状,增强不均匀明显强化,大量腹水,小女孩,考虑青少年型颗粒细胞瘤。
李广明:对照病理,仔细观察,腹腔液体包绕肠管,肠管不能抵达前腹壁,密度高于尿液,提示粘液成分,再仔细观察阑尾区有含有粘液肿块,提示左侧卵巢肿瘤为阑尾转移而来,病灶实性成分 比较明显,多为粘液性癌
(讨论部分节选自2020-02 - 25小打卡,点击下方图片可查看完整版)
·
![](http://n4.ikafan.com/assetsj/blank.gif)
转发文章让更多人看到
![](http://n4.ikafan.com/assetsj/blank.gif)
赞 (0)