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子宫内膜异位症恶变为相关卵巢癌的MRI诊断现状及研究进展

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子宫内膜异位症(endometriosis,EMs)是一种主要发生于育龄期妇女的盆腔慢性疾病,对女性的日常生活质量可产生巨大影响.当EMs良性病灶发生恶变时,由EMs恶变引起的卵巢癌在临床上称为子宫内膜异位相关卵巢癌(endometriosis associated ovarian cancer,EAOC).既往研究对"EMs恶变为EAOC"这类疾病的关注度和认识度不足,因此如何通过多模态MRI系统性地甄别和诊断该类疾病成为临床实践中亟待解决的问题,有效的早期诊断可使患者得到及时的干预治疗,对于提升患者生存质量至关重要.本文将介绍该类疾病的临床病理特征和诊断现状,并详述不同MRI技术中的特征性表现和应用价值,有助于指导临床医生更合理、恰当地对EMs恶变为EAOC进行诊断和评估.
Current status and reseach progress of MRI diagnosis of endometriosis malignancy related to ovarian cancer
Endometriosis(EMs)is a chronic pelvic disease that mainly occurs in women of childbearing age and can have a huge impact on women's daily quality of life.When malignant lesions occur in benign EMs lesions,ovarian cancer caused by malignant EMs is clinically referred to as endometriosis associated ovarian cancer(EAOC).Previous studies have not paid enough attention and recognization to the disease that"EMs deteriorates into EAOC".Therefore,how to systematically identify and diagnose this kind of disease through multimodal MRI has become an urgent problem to be solved in clinical practice.Effective early diagnosis can enable patients to get timely intervention treatment,which is crucial to improve the quality of life of patients.In this paper,the clinicopathological features and diagnosis status of these diseases will be introduced,and the characteristic manifestations and application value of different MRI techniques will be detailed,which will help to guide clinicians to diagnose and evaluate the malignant transformation from EMs to EAOC more reasonably and appropriately.

endometriosisendometriosis associated ovarian cancermalignant transformationmultimodal magnetic resonance imagingsummarize

刘思萌、赵德利

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哈尔滨医科大学附属第六医院影像中心,哈尔滨 150000

子宫内膜异位症 子宫内膜异位症相关性卵巢癌 恶变 多模态磁共振成像 综述

2024

磁共振成像
中国医院协会 首都医科大学附属北京天坛医院

磁共振成像

CSTPCD北大核心
影响因子:1.38
ISSN:1674-8034
年,卷(期):2024.15(11)