• 四川大學(xué)華西醫(yī)院放射科（成都610041）;

【摘要】目的 以卵巢惡性腫瘤為例，探討腹膜轉(zhuǎn)移瘤的CT表現(xiàn)特征及卵巢惡性腫瘤腹膜轉(zhuǎn)移的特點(diǎn)。
方法 回顧性分析33例手術(shù)切除并經(jīng)病理證實(shí)為原發(fā)性卵巢惡性腫瘤，手術(shù)后復(fù)查有腹膜轉(zhuǎn)移的CT表現(xiàn)特征，著重觀察和分析病變的部位、數(shù)量、密度和大小。
結(jié)果 33例中發(fā)現(xiàn)腹膜轉(zhuǎn)移病灶186個(gè)，復(fù)發(fā)病灶10個(gè)。最常見的轉(zhuǎn)移部位是右肝上間隙、右肝下間隙、小腸系膜、胃結(jié)腸韌帶、大網(wǎng)膜等。轉(zhuǎn)移病灶密度以實(shí)性為主，病灶直徑在0.5~13 cm之間。
結(jié)論 腹膜種植轉(zhuǎn)移是卵巢惡性腫瘤最常見的轉(zhuǎn)移方式，常見于右上腹部，尤其是右膈下間隙，腹腔局限性積液也是常見的征象。卵巢惡性腫瘤的術(shù)后CT檢查應(yīng)包括由膈頂?shù)脚璧椎娜繀^(qū)域。

引用本文： 姚晉,閔鵬秋,黃娟. 腹膜轉(zhuǎn)移瘤的CT征象. 中國(guó)普外基礎(chǔ)與臨床雜志, 2005, 12(6): 620-623. doi: 復(fù)制

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2. Pannu HK, Bristow RE, Montz FJ, et al. Multidetector CT of peritoneal carcinomatosis from ovarian cancer [Ｊ]. Radiographics, 2003; 23(3)687.
3. Halvorsen RA Jr, Panushka C, Oakley GJ, et al. Intraperitoneal contrast material improves the CT detection of peritoneal metastases [Ｊ]. AJR Am J Roentgenol, 1991; 157(1)37.
4. Jacquet P, Jelinek JS, Steves MA, et al. Evaluation of computed tomography in patients with peritoneal carcinomatosis [Ｊ]. Cancer, 1993; 72(5)1631.
5. Coakley FV, Choi PH, Gougoutas CA, et al. Peritoneal metastases: detection with spiral CT in patients with ovarian cancer [Ｊ]. Radiology, 2002; 223(2)495.
6. Megibow AJ, Bosniak MA, Ho AG, et al. Accuracy of CT in detection of persistent or recurrent ovarian carcinoma: correlation with secondlook laparotomy [Ｊ]. Radiology, 1988; 166(2)341.
7. Prayer L, Kainz C, Kramer J, et al. CT and MR accuracy in the detection of tumor recurrence in patients treated for ovarian cancer [Ｊ]. J Comput Assist Tomogr, 1993; 17(4)626.
8. Silverman PM, Osborne M, Dunnick NR, et al. CT prior to secondlook operation in ovarian cancer [Ｊ]. AJR Am J Roentgenol, 1988; 150(4)829.
9. Meyer JI, Kennedy AW, Friedman R, et al. Ovarian carcinoma: value of CT in predicting success of debulking surgery [Ｊ]. AJR Am J Roentgenol， 1995; 165(4)875.
10. Johnson RJ. Radiology in the management of ovarian cancer [Ｊ]. Clin Radiol， 1993; 48(2)75.
11. Kawamoto S, Urban BA, Fishman EK. CT of epithelial ovarian tumors [Ｊ]. Radiographics， 1999; 19（Spec No）S85.
12. Buy JN, Ghossain MA, Sciot C, et al. Epithelial tumors of the ovary: CT findings and correlation with US [Ｊ]. Radiology， 1991; 178(3)811.
13. Walkey MM, Friedman AC, Sohotra P, et al. CT manifestations of peritoneal carcinomatosis [Ｊ]. AJR Am J Roentgenol, 1988; 150(5)1035.
  1. 1. Buy JN, Moss AA,gHOSSIAN MA, et al. Peritoneal implants from ovarian tumors: CT findings [Ｊ]. Radiology, 1998; 169(3)691.
  2. 2. Pannu HK, Bristow RE, Montz FJ, et al. Multidetector CT of peritoneal carcinomatosis from ovarian cancer [Ｊ]. Radiographics, 2003; 23(3)687.
  3. 3. Halvorsen RA Jr, Panushka C, Oakley GJ, et al. Intraperitoneal contrast material improves the CT detection of peritoneal metastases [Ｊ]. AJR Am J Roentgenol, 1991; 157(1)37.
  4. 4. Jacquet P, Jelinek JS, Steves MA, et al. Evaluation of computed tomography in patients with peritoneal carcinomatosis [Ｊ]. Cancer, 1993; 72(5)1631.
  5. 5. Coakley FV, Choi PH, Gougoutas CA, et al. Peritoneal metastases: detection with spiral CT in patients with ovarian cancer [Ｊ]. Radiology, 2002; 223(2)495.
  6. 6. Megibow AJ, Bosniak MA, Ho AG, et al. Accuracy of CT in detection of persistent or recurrent ovarian carcinoma: correlation with secondlook laparotomy [Ｊ]. Radiology, 1988; 166(2)341.
  7. 7. Prayer L, Kainz C, Kramer J, et al. CT and MR accuracy in the detection of tumor recurrence in patients treated for ovarian cancer [Ｊ]. J Comput Assist Tomogr, 1993; 17(4)626.
  8. 8. Silverman PM, Osborne M, Dunnick NR, et al. CT prior to secondlook operation in ovarian cancer [Ｊ]. AJR Am J Roentgenol, 1988; 150(4)829.
  9. 9. Meyer JI, Kennedy AW, Friedman R, et al. Ovarian carcinoma: value of CT in predicting success of debulking surgery [Ｊ]. AJR Am J Roentgenol， 1995; 165(4)875.
  10. 10. Johnson RJ. Radiology in the management of ovarian cancer [Ｊ]. Clin Radiol， 1993; 48(2)75.
  11. 11. Kawamoto S, Urban BA, Fishman EK. CT of epithelial ovarian tumors [Ｊ]. Radiographics， 1999; 19（Spec No）S85.
  12. 12. Buy JN, Ghossain MA, Sciot C, et al. Epithelial tumors of the ovary: CT findings and correlation with US [Ｊ]. Radiology， 1991; 178(3)811.
  13. 13. Walkey MM, Friedman AC, Sohotra P, et al. CT manifestations of peritoneal carcinomatosis [Ｊ]. AJR Am J Roentgenol, 1988; 150(5)1035.