26论著影像研究与医学应用2024年3月第8卷第5期卵巢子宫内膜样癌与高级别浆液性癌的MRI鉴别诊断苏云景1，梁有禄1，韦杰1，马城1，凌佩佩1，林晓强2，周慧术2（1来宾市人民医院放射科广西来宾546100）（2柳州市中医医院放射科广西柳州545000）MRIdifferentialdiagnosisofOvarianEndometrioidCarcinomaandHigh-gradeserouscystadenocarcinomaSUYunjing1,LIANGYoulu1,WEIJie1,MACheng1,LINGPeipei1,LINXiaoqiang2,ZHOUHuishu21DepartmentofRadiology,LaibinPeople'sHospital,Laibin,Guangxi546100,China;2DepartmentofRadiology,LiuzhouHospitalofTraditionalChineseMedicine,Liuzhou,Guangxi545000,China【Abstract】ObjectiveTocompareMRIfeaturesofovarianendometrioidcarcinoma(OEC)andHigh-gradeserouscarcinoma(HGSC),andtoprovideevidenceforpreoperativedifferentialdiagnosis.MethodsAtotalof24patientswithOECand49patientswithHGSCadmittedtoLaibinPeople'sHospitalfromJanuary2017toNovember2023wereretrospectivelyselected.MRIexaminationswereperformedbeforesurgeryandconfirmedbyclinicaloperationandpathology.TheirclinicalandMRIfeatureswerecomparedandsummarized.ResultsTherewerenosignificantdifferencesintheleveloftumormarkers,anemiaandmaximumtumordiameterbetweenthetwocancers(P＞0.05);Theageofonset,FIGOstage,unilateralandbilateraldisease,boundary,maximumdiameterofsolidpart,characteristicsoftumorcystsoliddistribution,cysticT1WIsignal,solidpartenhancementfeature,highb-valuesignalofsolidcomponentdiffusionweightedimaging(DWI),incidenceofmassiveascites,lymphnodemetastasisandperitonealimplantationmetastasis,andendometrialdisease.Thereweresignificantdifferences(P＜0.05).ConclusionThetypicalmanifestationsofOECwerelargesinglecapsulewitha"dressing"papillaryeccentricmasticmass,intracapsularwithorwithoutfibrousseparation.HGSCpresentsasamultilocularsolidmasswithmultiplefibrouscompartmentsandpossiblybilateralcarcinoma.【Keywords】Ovarianendometrioidcarcinoma;High-gradeserouscystadenocarcinomaofovary;DynamicMRIenhancement;Diffusionweightedimaging【摘要】目的：比较卵巢子宫内膜样癌（OEC）与高级别浆液性癌（HGSC）的MRI特征，为两者的术前鉴别诊断提供依据。...
