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四肢软组织横纹肌肉瘤的影像学分析
引用本文:唐浩,邹丹凤,陈卫国. 四肢软组织横纹肌肉瘤的影像学分析[J]. 临床放射学杂志, 2011, 30(9)
作者姓名:唐浩  邹丹凤  陈卫国
作者单位:1. 南方医科大学南方医院放射科, 广东广州,510515
2. 南方医科大学南方医院惠侨科, 广东广州,510515
摘    要:目的探讨四肢软组织横纹肌肉瘤的影像学特征及提高对其诊断水平。资料与方法回顾性分析6例经病理证实的四肢横纹肌肉瘤的影像学表现。5例行MRI增强扫描,2例行CT增强扫描。结果 1例发生于上肢,5例发生于下肢,5例边界较清晰。在MRI上与肌肉相比,T1WI上以等信号为主,2例内部可见线条状留空信号,T2WI呈不均匀高信号,T2WI抑脂序列上呈较均匀的高信号,注射Gd-DTPA增强扫描,3例病灶呈不均匀明显强化,2例病灶强化较均匀;4例可见明显包膜形成,瘤周未见水肿。2例在CT检查中显示病变与肌肉相比在平扫可见等、低密度成分,以前者为主,1例相邻骨质可见溶骨性破坏且瘤内可见散在不规则钙化影,增强扫描轻度及明显强化各1例。结论四肢软组织横纹肌肉瘤无明显影像学特征,若在检查中发现四肢软组织肿块且强化明显时,横纹肌肉瘤应纳入鉴别诊断中,最终确诊依靠病理检查。

关 键 词:横纹肌肉瘤  四肢软组织  影像学  

Imaging Analysis of Rhabdomyosarcoma in the Extremities Soft Tissue
TANG Hao,ZOU Danfeng,CHEN Weiguo. Imaging Analysis of Rhabdomyosarcoma in the Extremities Soft Tissue[J]. Journal of Clinical Radiology, 2011, 30(9)
Authors:TANG Hao  ZOU Danfeng  CHEN Weiguo
Affiliation:TANG Hao,ZOU Danfeng,CHEN WeiguoRadiological Department,Nanfang Hospital,Southern Medical University,Guangzhou 510515,P.R.China
Abstract:Objective To explore imaging features of rhabdomyosarcoma in the extremities soft tissue and improve its diagnostic capacity.Materials and Methods A retrospective analysis of imaging features of six cases with pathologically approved rhabdomyosarcoma in the extremities soft tissue was performed.Five cases received MRI enhanced scan and two cases had Ctenhanced scan.Results One case occurred in the upper limb and lower limb occurred in five cases,five cases had distinct boundary.Among the five cases that rec...
Keywords:Rhabdomyosarcoma Extremities soft tissue Imaging  
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