肋骨良恶性肿瘤及肿瘤样病变的影像学表现

目的 探讨肋骨良恶性肿瘤及肿瘤样病变的影像学特点.方法 回顾性分析57例经手术病理证实的肋骨良恶性肿瘤及肿瘤样病变患者的影像学资料.结果 根据影像学表现及病变累及肋骨数量分为:囊状膨胀性骨破坏26例,溶骨性骨破坏20例,骨增生硬化表现8例,骨性突起3例,单骨表现32例,多骨表现25例.结论 肋骨溶骨性破坏或伴软组织肿块或伴病理性骨折多见于恶性肿瘤.囊状膨胀性骨破坏多见于良性肿瘤或肿瘤样病变,胸部X线片结合CT检查有助于提高肋骨肿瘤及肿瘤样病变的诊断正确率.

The imaging manifestation of rib bone benign-malignant tumor or tumor-like lesion

Objective To explore the imaging characteristics of rib bone benign-malignant tumor or tumor- like lesion. Methods Retrospectively analyzed 57 cases of imaging data by confirmation of clinical surgical patholo- gy,the chest photograph 45 cases, the chest CT check 37 cases. Results According to imaging findings and lesion in- volve in the amount of ribs divided into：cystic expansive bone destruction 26 cases, dissolve osseous bone destruction 20 cases, bone hyperplasia sclerosis 8 cases, osseous bumps 3 cases, single bone manifestation 32 cases, many bone manifestation 25 cases. Conclusion Dissolve osseous bone destruction or companion soft organization lump or com- panion pathologic bone fracture were seen in most malignant tumor. Cystic expansive bone destruction was seen in most benign tumor or tumor-like lesion,the chest film combined CT check was contribute to raise diagnosis accuracy rate of rib tumor and tumor-like lesion.