资源描述：
《radiologic diagnosis and staging of ovarian cancer》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。
1、ChristinaColeman,HMSIIIGillianLieberman,MDJanuary2006RadiologicDiagnosisandRadiologicDiagnosisandStagingofStagingofOvarianCancerOvarianCancerChristinaColemanChristinaColemanHarvardMedicalSchoolYearIIIHarvardMedicalSchoolYearIIIGillianLieberman,MDGillianLieberman,MDChristinaColeman,HMSIIIGil
2、lianLieberman,MDOutlineOutline••TypicalPatientPresentationTypicalPatientPresentation••EpidemiologyofOvarianCancerEpidemiologyofOvarianCancer••MenuofTestAvailableMenuofTestAvailable••UltrasoundUltrasound••MRIMRI••ComputedTomographyComputedTomography2ChristinaColeman,HMSIIIGillianLieberman,MD
3、CommonPatientPresentationCommonPatientPresentationMs.Disa49yoyoFwhopresentedtotheEDcomplainingofdiffuseabdominalpainandbloating.Herpainisslightlyrelievedwithbowelmovements.Shedeniesnausea/vomiting,fever/chills,hematochezia,melena,diarrheaorconstipation.PMHissignificantforrecentdiagnosisofH.
4、PyloriinfectionbeingtreatedwithprevpacPhysicalexamrevealedmildabdominaldistentionandmildtendernessofRUQandepigastrium.GuaiacGuaiacpositivestoolLabswerenormalexceptforHct-34.4andLDH-3013ChristinaColeman,HMSIIIGillianLieberman,MDPatienthadabdominalPatienthadabdominalultrasoundtoevaluateherfor
5、ultrasoundtoevaluateherforacutecholecystitisacutecholecystitisChristinaColeman,HMSIIIGillianLieberman,MDAbdominalUSofLiverAbdominalUSofLiver5PACSBIDMCChristinaColeman,HMSIIIGillianLieberman,MDDifferentialDiagnosisofAscitesDifferentialDiagnosisofAscites••ElevatedLymphaticPressure••Cirrhosis•
6、•HeartFailure••ObstructionofLymphatics,PortalVeinorIVC••Neoplastic••Lymphoma••Benigntumor••MetastaticDisease––Gastriccarcinoma,ovariancarcinoma••Infection••Schistosomiasis••Sarcoidosis••Tuberculosis••ThrombosisofIVCorPortalVein••InfectionorInflammation(Peritonitis)••Abscess••Pancreatitis••P
7、elvicInflammatoryDisease••Ruptureofhollowviscus••Hypoalbuminemia6ChristinaColeman,HMSIIIGillianLieberman,MDAdditionalPatientHistoryAdditionalPatientHistory••OurpatientalsocomplainedofaweightlossofOurpatientalsocomplainedofaweightlossofabout8about8––10lbs
