Exophytic colon cancer mimicking an ovarian tumor: the value of evaluation of the venous anatomy on MDCT

Daisuke Okamoto , Yoshiki Asayama , Kengo Yoshimitsu , Hiroyuki Irie , Hitoshi Aibe , Takashi Utsunomiya , Tsuyoshi Tajima , Akihiro Nishie , Kunishige Matake , Tomohiro Nakayama , Daisuke Kakihara , Yasunori Oda , Takashi Yao , Hiroshi Honda
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引用次数: 3

Abstract

We report a case of exophytic sigmoid colon cancer mimicking an ovarian tumor. This tumor showed submucosal growth accompanied by an extracanal cystic component. It was difficult to determine whether this tumor derived from the sigmoid colon or from the ovary by double contrast barium enema and endoscopic examination. On multidetector-row CT (MDCT), it was possible to see that this mass continued not to the gonadal vein but to the inferior mesenteric vein indicating sigmoid colon origin. In determining the origin of a pelvic mass, it is useful to evaluate the relationship between the tumor and the venous anatomy.

外生性结肠癌模拟卵巢肿瘤:MDCT对静脉解剖的评价价值
我们报告一例模拟卵巢肿瘤的外生性乙状结肠肿瘤。该肿瘤表现为粘膜下生长并伴有肛门外囊性成分。通过双对比钡灌肠和内窥镜检查很难确定该肿瘤是来自乙状结肠还是卵巢。在多排CT (MDCT)上,可以看到这个肿块没有继续延伸到性腺静脉,而是延伸到肠系膜下静脉,表明乙状结肠起源。在确定骨盆肿块的起源时,评估肿瘤与静脉解剖之间的关系是有用的。
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