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恶性蝾螈瘤MR影像分析(附1例报道)
引用本文:石士奎,郭景理,周育夫,谢宗玉,俞岚,承则农.恶性蝾螈瘤MR影像分析(附1例报道)[J].解剖与临床,2010,15(5):359-361.
作者姓名:石士奎  郭景理  周育夫  谢宗玉  俞岚  承则农
作者单位:1. 蚌埠医学院第一附属医院放射科,安徽蚌埠,233004
2. 安徽省临泉县人民医院骨科
3. 蚌埠医学院第一附属医院放疗科
4. 蚌埠医学院第一附属医院病理科
摘    要:目的:探讨恶性蝾螈瘤(MTT)的MRI表现和临床病理特点,提高临床对MTT的认识.方法:手术切除辅以放疗治疗右前臂MTT 1例.结合文献复习,分析MTT的MRI表现及病理特征.结果:MTT的MRI表现为T1WI稍低信号、T2WI高信号的软组织肿块,肿瘤信号不均、T2WI上高信号肿块影内环形或线样低信号分隔影或许是MTT的特征性MRI表现之一.MTT的恶性度高,其治疗以手术切除为主,疗效及预后不佳,易在短期内复发及转移.结论:深入了解MTT的MRI表现,对MTT的早期诊断、早期治疗具有重要价值.

关 键 词:恶性蝾螈瘤  磁共振成像  病理学  免疫组织化学  诊断

MR Imaging Analysis of Malignant Triton Tumor (Report of One Case)
SHI Shi-kui,GUO Jing-li,ZHOU Yu-fu,XIE Zong-yu,YU Lan,CHENG Ze-nong.MR Imaging Analysis of Malignant Triton Tumor (Report of One Case)[J].Anatomy and Clinics,2010,15(5):359-361.
Authors:SHI Shi-kui  GUO Jing-li  ZHOU Yu-fu  XIE Zong-yu  YU Lan  CHENG Ze-nong
Institution:. (Department of Radiology, the First Affiliated Hospital of Bengbu Medical College, Bengbu 233004,China)
Abstract:Objective:To explore manifestations of magnetic resonance imaging(MRI) and pathologic characteristics of malignant triton tumor(MTT) , and to strengthen the understanding of MTT. Methods: One case of MTT on the right forearm with surgical resection supplemented by radiotherapy was evaluated. MRI appearance and pathologic features were analyzed retrospectively with reference to literature review. Results:MRI appearance of MTT was dominated by slightly low signal intensity on TI WI,high signal intensity on T2WI. Het- erogeneous signal intensity within the mass, circular and linear septa with low signal intensity on T2WI might be one of the MR characteristic manifestations of MTT. MTT was a high malignant tumor. Treatment of MTT was dominated by surgical resection, poor therapeutic effects and prognosis was prone to its recurrence and metastasis in a short period. Conclusions : Further understanding about MRI characteristics of MTT is very valuable for early diagnosis and treatment.
Keywords:Malignant triton tumor  Magnetic resonance imaging  Pathology  Immunohistochemistry  Diagnosis
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