問題詳情

72.35歲女性病患,主訴下腹痛,磁振造影檢查發現骨盆腔有囊狀病灶(星號),在T2加權影像(左圖)呈稍低訊號,T1加權影像(右圖)呈高訊號。其診斷為何?


(A)巧克力囊腫(chocolate cyst)
(B)卵巢癌(ovarian cancer)
(C)輸卵管卵巢膿瘍(tubo-ovarian abscess)
(D)畸胎瘤(teratoma)



參考答案

答案:A
難度:計算中-1
書單:沒有書單,新增

用户評論

justin1999031】評論

MRISignal characteristics vary according to the age of any complicating hemorrhage 6:T1typically, lesions appear hyperintense while acute hemorrhage occasionally appears hypointenseendometriomas with high T1 signal characteristically do not show loss of signal on T1 fat-suppressed sequences, which is important for differentiating it from a mature cystic teratoma of the ovaryT2typically hypointense owing to the presence of deoxyhemoglobin and methemoglobin (shading sign), which is very suggestive of an endometrioma 3T2 dark spot sign is specific for chronic hemorrhage and is helpful in diagnosing endometriomas 9old hemorrhage occasionally appears hyperintense