Correlative analysis on MRI and pathological characteristics findings of uterine carcinosarcoma
10.3969/j.issn.1002-1671.2018.05.022
- VernacularTitle:子宫癌肉瘤MRI及病理表现特征对照分析
- Author:
Jinzhi FANG
1
;
Zhengxian LEI
;
Renwei LIU
;
Fengdi FENG
;
Yuzhong ZHANG
Author Information
1. 深圳市龙华区人民医院影像科
- Keywords:
uterine carcinosarcoma;
magnetic resonance imaging;
pathology
- From:
Journal of Practical Radiology
2018;34(5):733-735
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the relationship between MRI and pathological features of uterine carcinosarcoma(UCS).Methods 13 cases of UCS which were confirmed by surgery and pathology were collected,MRI plain scan and enhanced scan were carried on all of the patients,the pathological tissue was got after operation for conventional HE and immunohistochemical staining.The MRI representation and pathological tissue composition of all the 13 cases were analyzed and summarized.Results 8 cases were occurred in uterine body,3 cases were in the cervix and 2 were involving the uterine body and cervix at the same time.The MRI manifestations of them were enlarged uterine size with irregular masses showed,intermediate or hypointensity intensity signal on T1 weighted and hyperintensity or intermediate intensity signal on T2 weighted,necrosis and cystic lesions were showed in 5 cases,2 cases hemorrhage were displaied which showed hyperintensity signal on T1 weighted,4 cases were endometrial thickening,all of the cases were heterogeneous enhancement;the pathological showed different proportion of carcinorma and sarcoma were visible in all the 13 cases of UCS.Conclusion UCS has complex components histopathologically,including both carcinoma tissue and sarcoma tissue.The heterogeneous signal of cystic degeneration,necrosis and hemorrhage within tumor in MRI could help the diagnosis of UCS.
