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腺泡状软组织肉瘤的MRI表现
引用本文:张海栋,王仁法,万捷,宋少辉,周俊芬,杨海涛,. 腺泡状软组织肉瘤的MRI表现[J]. 放射学实践, 2009, 24(9): 1033-1036
作者姓名:张海栋  王仁法  万捷  宋少辉  周俊芬  杨海涛  
作者单位:1. 华中科技大学同济医学院附属同济医院放射科,武汉,430030
2. 华中科技大学同济医学院附属同济医院病理科,武汉,430030
摘    要:
目的:探讨腺泡状软组织肉瘤的MRI表现。方法:9例手术病理证实的腺泡状软组织肉瘤,术前均进行MRI平扫,其中4例行增强扫描,2例行1H-MRS扫描。对肿瘤的发生部位、大小、肿瘤形态、肿瘤的强化和1H-MRS表现进行分析评价。结果:位于大腿4例,小腿2例,上臂2例,臀肌和髂腰肌1例,8例肿瘤位于深部肌群;肿瘤体积平均大小5.1 cm×7.8 cm;5例呈分叶状;3例肿瘤周围有软组织结节;7例肿瘤的信号均匀,呈中等T1长T2信号,2例有囊变坏死;4例增强扫描者,瘤实质明显强化;2例1H-MRS均表现为3.2 ppm出现明显的Cho峰。结论:腺泡状软组织肉瘤的MRI表现缺乏特异性,但在一定程度上能够反应肿瘤的恶性特点,对于术前肿瘤定性诊断和指导临床治疗具有一定价值。

关 键 词:肉瘤,软组织腺泡状  磁共振成像  磁共振波谱学

MRI Findings of Alveolar Soft-part Sarcoma
ZHANG Hai-dong,WANG Ren-fa,WAN Jie,et al.. MRI Findings of Alveolar Soft-part Sarcoma[J]. Radiologic Practice, 2009, 24(9): 1033-1036
Authors:ZHANG Hai-dong  WANG Ren-fa  WAN Jie  et al.
Affiliation:ZHANG Hai-dong,WANG Ren-fa,WAN Jie,et al.Department of Radiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,P.R.China
Abstract:
Objective:The purpose of our study is to investigate the magnetic resonance imaging features of alveolar soft-part sarcoma(ASPS).Methods:Nine patients with ASPS confirmed by surgery and pathology had MR scanning before surgery,4 patients had enhanced MRI,2 cases had 1H-MR spectroscopy(MRS).The location,size,morphology,enhanced pattern and 1H-MRS appearance of tumors were analyzed and evaluated.Results:The locations of the tumor included thigh(4 cases),leg(2 cases),upper arm(2 cases),gluteus muscles and ilio...
Keywords:Sarcoma  alveolar soft-part  Magnetic resonance imaging  Magnetic resonance spectroscopy  
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