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1.
Imaging of primary multifocal osseous lymphoma 总被引:4,自引:0,他引:4
Objective. To review our experience with primary multifocal osseous lymphoma (PMOL), to characterize its imaging features, before and
after treatment, and to correlate these features with clinical outcome. Design. Hospital charts and imaging studies of eight patients with PMOL were reviewed. These included bone radiographs, bone scans,
CT and MRI. Number, distribution and appearance of lesions before treatment were evaluated; and post-treatment changes were
assessed for evidence of healing or progression, correlated with clinical outcome. Results. A total of 63 lesions were identified by pre-treatment bone scan, 36 by MRI (including 10 not visible on bone scan) and 16
by radiographs. Twenty-one percent of lesions occurred about the knee, and 63% of patients had concomitant skull, distal femoral
and proximal tibial lesions. The radiographic appearance ranged from lytic to sclerotic. Lesions were isointense to hematopoietic
marrow on T2-weighted MR sequences. Only plain radiographic evidence of healing or progression correlated with clinical outcome.
Conclusion. Distribution of PMOL was best assessed by bone scan. However, MRI revealed larger areas of marrow involvement and detected
lesions in the pelvis not seen on bone scan. Marrow involvement around the knee was common, and the combination of skull,
distal femoral and proximal tibial lesions may suggest the diagnosis. Radiographs underestimate the extent of disease but
were the best modality for assessment of treatment response. 相似文献
2.
We describe a case of epithelioid sarcoma of the median nerve in a 57-year-old woman presenting with symptoms and signs of carpal tunnel syndrome for 2 years. The clinical examination was suggestive of a wrist ganglion compressing the median nerve. Magnetic resonance imaging (MRI) showed a 5 cm x 3 cm mass involving the median nerve in the carpal tunnel and appearances mimicked a benign peripheral nerve sheath tumour. This report illustrates a rare tumour presenting in a rare location and emphasizes the atypical clinical and MRI features that should alert the radiologist to the possibility of a rare sarcoma mimicking a benign peripheral nerve sheath tumour. 相似文献
3.
A case of epithelioid sarcoma involving the soft tissues of the ankle is presented. The tumor was a hemorrhagic, fluid-filled,
multiloculated lesion with inflammatory changes in the surrounding planes. Tuberculous abscess was diagnosed on the basis
of the clinical picture, ultrasound and MRI findings. Surgical exploration of the ankle mass was carried out because of lack
of local healing while the patient’s general and pulmonary status improved on antituberculosis treatment. This was an unusual
case of epithelioid sarcoma mimicking a multilocular abscess.
Received: 11 October 1999 Revision requested: 2 November 1999 Revision received: 30 October 2000 Accepted: 3 November 2000 相似文献
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M. Yamato G. Nishimura Takehiko Yamaguchi Kazuya Tamai Koichi Saotome 《Skeletal radiology》1997,26(10):606-610
The case of a patient with epithelioid sarcoma in the right arm is reported. The diagnosis was delayed because of misinterpretation
arising from complexity in the MR findings, including a honeycomb pattern in the subcutaneous fat simulating lymphedema, and
an intramuscular diffuse high signal intensity on T2-weighted images without a discrete mass lesion. The histological findings
revealed that the diffuse muscular abnormality mainly resulted from denervation of the muscles due to perineural invasion
by the tumor, and subcutaneous edema from lymphedema secondary to lymphatic tumor spread concurrent with lymphatic fibrosis.
Multiple foci of cortical erosions in the humerus, a rare manifestation of this tumor, were detected 6 months later. 相似文献
6.
By splenic imaging, a large focal defect was demonstrated in a symptomatic South American immigrant with simultaneous parasitic infestation of strongyloidiasis and entamebiasis. The CT scan also was thought to be abnormal. Pathologic findings reported a variation in splenic configuration. Unusual splenic configuration should be considered in the differential diagnosis of abnormal scans. 相似文献
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Epithelioid hemangioendothelioma is a tumor of the soft tissues arising from the vascular endothelium. It is considered an intermediate grade malignancy. A 42-year-old female patient presented with pain and tingling down her right arm and a mass at the right medial upper extremity. MRI revealed an oblong mass along the course of the neurovascular bundle. Given the clinical and MR findings, a nerve sheath tumor was suspected. At surgery, the mass was adherent to both the brachial artery medially and the median nerve posteriorly. Pathology revealed epithelioid hemangioendothelioma. The imaging characteristics of epithelioid hemangioendothelioma on ultrasound, CT, and MRI are reviewed. Epithelioid hemangioendothelioma can mimic a nerve sheath tumor clinically and radiologically and should be considered in the differential diagnosis of tumors involving or adjacent to a neurovascular bundle. 相似文献
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A 55-year-old woman complained of a subcutaneous mass in her left buttock. MR images revealed an ill-defined soft tissue mass that crossed the fascia of the gluteus maximus muscle. Some surrounding edema was noted. The lesion showed some contrast uptake after administration of Gd-DTPA. An excisional biopsy revealed sarcoidosis involving both the muscle and subcutaneous tissue across the fascia, mimicking a sarcoma. 相似文献
11.
The radiologic and pathologic manifestations of epithelioid sarcoma are presented based on an analysis of five cases, and the literature is reviewed. This rare entity tends to orginate in the extremities and metastasizes primarily via the lymphatics. Although the lesion grows slowly, it recurs with high frequency. Males are affected three times as often as females. The differential diagnosis includes both malignant and benign entities. The natural history and methods of treatment are reported. 相似文献
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Yoshioka N Minami M Inoue Y Kawauchi N Nakajima J Oka T Yoshikawa K Ohtomo K 《Journal of computer assisted tomography》2000,24(4):581-583
We report a rare case of a bronchogenic cyst presenting as a pleural nodule. CT and MRI demonstrated a well circumscribed, homogeneous lesion located on the pleural surface apart from the mediastinum. It was proven to be a bronchogenic cyst localized between the parietal and visceral pleurae and connected with the mediastinum only through fibrous tissue. Radiologists should be aware that a mediastinal bronchogenic cyst may be located apart from the mediastinum. 相似文献
14.
Jia Wei Tan Jyothirmayi Velaga John Shyi Ping Yuen Xin Min Cheng Yan Mee Law 《Journal of Radiology Case Reports》2021,15(3):9
Schwannomas of the prostate are a rare entity and usually diagnosed incidentally following surgical management of presumed benign prostate hyperplasia or prostate adenocarcinoma. We present a case of sporadic periprostatic schwannoma diagnosed in conjunction with multifocal prostate adenocarcinoma on pre-operative multiparametric magnetic resonance imaging. 相似文献
15.
We report a case of granulocytic sarcoma exclusively manifesting as diffuse intramuscular infiltration of the proximal upper
and lower limb girdle and the torso muscles in a patient with previous history of acute myelogenous leukemia 5a. Whole-body
CT showed widespread distribution of ill-defined intramuscular, homogeneously enhancing lesions. On whole-body MRI, lesions
were homogeneously hyperintense on fat saturated T2-weighted images, isointense on T1-weighted images and strongly enhancing
after intravenous gadolinium contrast administration. Histopathology revealed muscular infiltration of blast cells with identical
immunochemistry to the initial manifestation of leukemia, diagnostic for an extramedullary relapse manifesting as granulocytic
sarcoma. CT and MRI characteristics of this previously undocumented manifestation of granulocytic sarcoma should assist in
the identification of such cases. 相似文献
16.
Döbert N Menzel C Ludwig R Berner U Diehl M Hamscho N Grünwald F 《Clinical nuclear medicine》2002,27(10):695-697
A woman was referred for fluorodeoxyglucose positron emission tomography for the staging of a malignant melanoma. Although no signs of metastatic melanoma were evident on the whole-body scan, focally increased uptake within the femoral metaphysis was noted. Radiographic and magnetic resonance examinations revealed an enchondroma as the cause of the increased uptake. Histopathologic verification was obtained. The final diagnosis was actively proliferating enchondroma. A grade I chondrosarcoma could be ruled out. Enchondromas may be responsible for focally increased FDG uptake in bone lesions and must be considered when positron emission tomographic scans obtained with FDG are evaluated in cancer staging. 相似文献
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Epithelioid sarcoma: clinical,MR imaging and pathologic findings 总被引:2,自引:0,他引:2
Hanna SL Kaste S Jenkins JJ Hewan-Lowe K Spence JV Gupta M Monson D Fletcher BD 《Skeletal radiology》2002,31(7):400-412
OBJECTIVE: To report and describe the MR imaging features of eight new cases of this rare soft tissue sarcoma and correlate them with the clinical and histologic findings.DESIGN AND PATIENTS. Retrospective analysis was carried out for the MR imaging characteristics and histologic findings of eight patients with pathologically proven epithelioid sarcoma and the literature was reviewed. Findings were correlated in each case with the patient's clinical presentation and eventual outcome.RESULTS: The patients, whose primary tumors ranged from 2.5 cm to 19 cm in maximum dimension, were 1 to 90 years of age. Tumors involved the extremities ( n=5), the scalp ( n=2) and the paraspinal muscles ( n=1). Five tumors presented as well-defined, frequently painful, deeply situated masses and three as subcutaneous nodules or cutaneous ulcers with no palpable mass. Four patients had associated regional lymphadenopathy and one had distant metastases at diagnosis. MR imaging showed tumor infiltration of adjacent tissues in seven patients. Signal characteristics reflected varying degrees of cellularity, and the presence of necrosis, hemorrhage, fibrosis, hyalinization and inflammation. Bone marrow involvement was demonstrated in one patient. Clinical outcomes were generally poor.CONCLUSIONS: Epithelioid sarcoma is an aggressive soft tissue sarcoma with a varied clinical presentation, growth pattern, MR signal characteristics and histologic picture. The tumor favors the distal extremities and is commonly infiltrative and accompanied by enlarged regional lymph nodes. This neoplasm may present as an intramuscular mass but should also be suspected in patients with ulcerating cutaneous nodules with or without regional lymphadenopathy. 相似文献
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Daniel Quintero Nikhil Patel Griffin Harris Anthony Maristany Ali Alani Andrew E Rosenberg Sheila A Conway Jean Jose 《Radiology Case Reports》2022,17(8):2775
Several studies have previously documented the development of complications stemming from injection with one of the various COVID-19 vaccines. No study, however, has discussed the spontaneous development of a soft tissue mass shortly after a COVID-19 vaccine injection. We report on 66-year-old female with concerns of a growing shoulder mass, 2 weeks after receiving a COVID-19 vaccine booster. Initial work-up with X-ray and MRI was concerning for a soft tissue neoplasm, specifically a soft tissue sarcoma. Subsequent ultrasound guided biopsy demonstrated a benign granulomatous lesion. No further management was required as the lesion spontaneously resolved during a 3-month follow-up period. 相似文献