CT Evaluation of Spread of Diseases between Pelvis and Extrapelvic Sites

病灶於骨盆腔內外相互延伸的電腦斷層評估

陳家祥(Chia-Hsiang Chen) ； 聖多馬(Thomas R. Sanford)

《中華放射線醫學雜誌》 18卷3期 (1993/09) Pp. 237-243

摘要

骨盆腔疾病，如感染，溢血及腫瘤，可由數條途徑包括骨盆肌肉或血管筋膜擴散到骨盆腔外面。同樣，骨盆腔外疾病可以往骨盆內延伸。
檢視12個患者的臨床過程及電腦斷層攝影檢查。其中2例是感染另外10例是腫瘤。12例中，有6例是經髂腰肌路徑，3例是經胝坐骨路徑，2例是經閉孔路徑，另有一例腫瘤同時經髂腰肌及閉孔路徑。電腦斷層對骨盆疾病很有幫助且可以詳細呈現骨盆腔內外病灶間的關係，進而可以促進迅速及適當的治療，且對治療之計劃及追蹤亦有助益。

關鍵字

骨盆腔電腦斷層攝影 ； 骨盆腔腫瘤

並列摘要

Various disease processes such as inflammation, hemorrhage and tumor may follow various tissue planes to spread to a distant site. Thus pelvic diseases may present in the perineum, buttocks, hips or lower extremities. In the same way, disease outside the pelvis may extend into the pelvis. This report collected 12 such cases, including 10 with tumor and 2 of inflammation. All had computed tomography (CT). Six cases showed spread through the iliopsoas route, 3 through sacrosciatic route and 2 through obturator foramen route. One case showed tumor extending through both the iliopsoas and obturator foramen routes.
Findings on radiographs and contrast studies (urogram and barium enema) are of limited value in the absence of subcutaneous emphysema and contrast extravasation. CT is very helpful in detecting both the intrapelvic and extrapelvic lesions and clearly defines the pathway of connection between both processes. Accurate diagnosis of such cases, especially with occult pelvic disease, facilitates prompt and appropriate therapy and may significantly alter therapeutic planning.

並列關鍵字

Pelvis, CT ； pelvis, neoplasms