恶性纤维组织细胞瘤影像征象分析及诊断 |
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引用本文: | 曾俊杰,田志雄,张在鹏,朱凌,胡慧娟,.恶性纤维组织细胞瘤影像征象分析及诊断[J].放射学实践,2011,26(12):1290-1293. |
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作者姓名: | 曾俊杰 田志雄 张在鹏 朱凌 胡慧娟 |
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作者单位: | 武汉大学中南医院放射科, 武汉,430071 |
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摘 要: | 目的:探讨恶性纤维组织细胞瘤(MFH)的CT及MRI征象,提高对该病的诊断水平.方法:搜集15例经手术病理确诊的MFH影像学资料进行回顾性分析,其中12例行CT检查,4例行MRI检查,2例行CT与MRI检查.结果:6例瘤体位于四肢,类圆形,边界模糊;其中2例MRI表现为T1WI呈等或稍低信号,T2 WI稍高混杂信号;其...
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关 键 词: | 恶性纤维组织细胞瘤 体层摄影术 X线计算机 磁共振成像 |
The analysis and imaging diagnosis of malignant fibrous histiocytom |
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Institution: | ZENG Jun-jie,TIAN Zhi-xiong,ZHANG Zai-peng,et al.Department of Radiology,Zhongnan Hospital of Wuhan University,Wuhan 430071,P.R.China |
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Abstract: | Objective:To discuss the CT and MRI findings of malignant fibrous histiocytoma,and to improve its radiological diagnosis.Methods:A retrospective analysis was made of the imaging data of 15 pathologically confirmed cases of malignant fibrous histiocytoma,CT examination was done in 12 cases,MRI examination in 4 cases,both CT and MRI examination in 2 cases.Results:Six cases had lesions located in the limb muscles,the tumors were round in shape and unclear at the edges,in which 2 cases presented hypointensity and isointensity on T1WI,hyper-or mixed intensity on T2WI,and 2 cases had tumor recurrence at the original site.One case had lesion in the back,unclear at the edges,T1WI showed hypointensity and isointensity and T2WI showed hyper-or mixed intensity.Three cases had lesions located in the retroperitoneal space,the maximum diamaeter of the tumor was 12cm,the shape was multilobulated,enhanced scan showed a moderate peripheral enhancement.Five cases had lesions located in uncommon places:temporal lobe in 1 case,maxillary sinus in 1 case,lung in 1 case,kidney in 1 case and liver in 1 case.The tumor in liver had multiple retroperitoneal space metastases on follow-ups.Conclusion:The imaging findings of MFH located in the limb muscles and retroperitoneal space have certain characteristic manifestations.It is difficult for CT/MRI performance to differentiate those lesions located at uncommon sites,and the diagnosis needs the help of pathologic examinations. |
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Keywords: | Malignant fibrous histiocytoma Tomography X-ray computed Magnetic resonance imaging |
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