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Huge squamous cell carcinoma of uterus in reproductive period:report of one case

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Author:
No author available
Journal Title:
Journal of China Clinic Medical Imaging
Issue:
7
DOI:
10.12117/jccmi.2024.07.019
Key Word:
子宫肿瘤;体层摄影术,X线计算机;磁共振成像

Abstract: 病例 女,33岁.乏力半年、贫血貌.不规则阴道流血2年余,阴道流脓和间断性下腹痛,近一年体质量下降30 kg.HPV(+).CT平扫:子宫和宫腔明显增大、密度不均,中央见气体、延续至阴道,伴有子宫壁的不连续性(图1).MRI平扫:子宫显著增大,正常结构消失,宫体及宫颈壁不规则增厚,T1WI呈等低信号,T2WI压脂以中至高信号的子宫肿块伴有肌层弥漫浸润,边缘及内部可见线样低信号,呈"星芒状"改变(图2a);其内多发囊性高信号灶,呈"卵石征"改变(图2b),肿块实性部分弥散受限,增强后不均匀延迟强化.最终病理结果(图3):鳞状细胞癌.

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