Share：
Share this content in WeChat
X
[Chinese][PDF]115882
• Clinical Article •
MRI diagnosis of complete hydatidiform mole in early pregnance
LI Xin  DAI Hai-yang  TU Jian-xin 

DOI:10.12015/issn.1674-8034.2016.05.012.


[Abstract] Objective: To investigate the MRI imaging features and diagnostic points of complete hydatidiform mole in the early stage of pregnancy.Materials and Methods: The clinical and MRI imaging data of 9 cases of complete hydatidiform mole confirmed by pathology were retrospectively analyzed, the diagnostic and differentiate points were summarized.Results: There are some common features of hydatidiform mole on MRI. All of the 9 cases showed enlargement of the uterus, thickness of the uterus wall and appeared abnormal enlarged and tortuous vessels in the uterus wall and around the uterus, which was markedly heterogeneous enhanced after contrast medium administrated. There appeared patchy abnormal signals in the uterine cavity, which showed iso- or hypo-intensity on T1WI and inhomogeneous hyper- or hypo-intensity on T2WI, and showed slight enhancement after injection of contrast medium. All the low-intensity endometrium was integrated. During the follow up visits after uterine aspiration in clinic, the HCG value gradually decreased in all cases, and the abnormal vessels in the uterus wall as well as adjacent spaces also shrinked or diminished.Conclusions: There are some specific imaging features of hydatidiform mole on MRI. The diagnosis of hydatidiform should take full consideration of the clinic history.
[Keywords] Hydatidiform mole；Magnetic resonance imaging

LI Xin Department of Medical Imaging, Huizhou Municipal Central Hospital, Guangdong Province, Huizhou 516001, China

DAI Hai-yang* Department of Medical Imaging, Huizhou Municipal Central Hospital, Guangdong Province, Huizhou 516001, China

TU Jian-xin Department of Medical Imaging, Huizhou the Second Women's and Children's Healthcare Hospital, Guangdong Province, Huizhou 516001, China

*Correspondence to: Dai HY, E-mail: d.ocean@163.com

Conflicts of interest   None.

ACKNOWLEDGMENTS  This study was supported by Medical Science and Technology Research Foundation of Guangdong Province No. A2015536 the key support project of Huizhou Municipal Central Hospital No. 2015
Received  2016-01-12
Accepted  2016-03-26
DOI: 10.12015/issn.1674-8034.2016.05.012
DOI:10.12015/issn.1674-8034.2016.05.012.

[1]
Lurain JR. Gestational trophoblastic disease, vol Ⅱ: classification and management of gestational trophoblastic neoplasia. Am J Obstet Gynecol, 204(1):11-118.
[2]
Kani KK, Lee JH, Dighe M, et al. Gestatational trophoblastic disease: multimodality imaging assessment with special emphasis on spectrum of abnormalities and value of imaging in staging and management of disease. Curr Probl Diagn Radiol, 41(1):1-10.
[3]
石明国，付海鸿，戈明媚, 等. 高清成像精准量化功能测量:磁共振成像技术现状与展望. 磁共振成像, 2014, 5(增刊): 20-25.
[4]
王颖颖，秦文，李传福. 妊娠滋养细胞肿瘤的磁共振表现. 现代妇产科进展, 2008, 17(2): 121-124.
[5]
谢洁林，韩志刚，张国福, 等. 妊娠滋养细胞肿瘤的MRI表现.中国医学计算机成像杂志, 2012, 18(5): 425-427.
[6]
陈伟，严志汉，方必东，等．良、恶性妊娠滋养细胞肿瘤的MRI特征分析. 温州医学院学报, 2010, 40(1): 49-52.
[7]
Lim AK, Agarwal R, Seckl MJ, et al. Embolization of bleeding residual uterine vascular malformations in patients with treated gestational trophoblastic tumors. Radiology, 222(3): 640-644.
[8]
万小云，石一复. 妊娠滋养细胞肿瘤的子宫血管结构特点. 中华妇产科杂志, 1997, 32(3): 183-184.
[9]
荆彦平，张焱，程敬亮, 等. 妊娠滋养细胞疾病的MRI诊断及病理对照. 放射学实践, 2012, 27(3): 333-336.
[10]
Shin leM. Trophobalstic vasculogenic mimicry in gestational choriocarcinoma. Mod Pathol, 2011, 24(5): 646-652.
[11]
吕明权，蒋丽娜，李贤兴, 等. 侵袭性葡萄胎的CT诊断（附11例分析). 中华放射学杂志, 2000, 34(12): 850-851.
[12]
Lurain JR. Gestational trophoblastic disease I: Epidemiology, pathology, clinical presentation and diagnosis of gestational trophoblastic disease, and management of hydatidiform mole. Am J Obstet Gynecol, 203(6): 531-539.

PREV Analysis on the magnetic resonance imaging features of gouty arthritis of the knee
NEXT MRI findings of mitral valvular perfortion in patients with left ventricular outflow tract obstruction one case report
  


LINK


Tel & Fax: +8610-67113815    E-mail: editor@cjmri.cn