中国中西医结合影像学杂志2011,Vol.9Issue(5):397-399,404,4.DOI:10.3969/j.issn.1672-0512.2011.05.005
炎性肌纤维母细胞瘤的影像学诊断
Imaging diagnosis of Inflammatory myofibroblastic tumor
孙志强 1罗莉漫 1陈信坚 1阳昱恒 1赵林 1宋佳 1沈桂萍 1曾晓华1
作者信息
- 1. 广州军区武汉总医院放射科,湖北,武汉,430070
- 折叠
摘要
Abstract
Objective: To investigate theCT and M RI features of inflamm atory m yofib rob lastic tumor(M T )and their valie in 1he clinical diagnosis .M e1hods: The CT and M RI findings of 20 cases with pathology proven M T were retrospectively analyzed .of which ,13 cases had CT and 5 cases had M RI.Results:The anatom ic locations of tumors in these 20 patients included lung ( n = 8), epigbttis( n = l), nasal cavity ( n = l), popliteal fossa( n = l), chest wall( n = 2) , buttocks( n = l) , mandib-ularm ohr( n = l), b]adder( n = l) , superficial soft tissue( n = 3) . In term s of ling lesions, there were 3 central lesions presented as solid m asses w ith obscure boundary m argin ; 5 peripheral lesions as solid m asses or nodules w ith w eU-defined m argin . T he lesions out of the ling presented as solid m asses or nodules in diverse sites. MRI appearance w as m ass of a slightly-long Tl slightly-long T2 signal.After contrast enhancem ent,moderate or m arked hom ogeneous or heterogeneous enhancem ent w ere show n in 1he solid part of turn or, cystic and necrotic w iihout m arked enhancem ent. Turn ors w ere m ainly com posed of spindle shaped fibrous cells and inflam m atory cells on pathology . 0 n in m unohistochem istry staining, positive expression of m uscle deriving proteins was observed . Conclusion : The final diagnosis of M T relies on pathology and in m unohistochem istry study, C T and MRI exam inatbn provides inform ation of accurate anatom ic location and are het>ful for the clinical diagnosis.关键词
肿瘤,肌组织/体层摄影术,X线计算机/磁共振成像/病理学Key words
neoplasms ,m uscle tissue/torn ography,X -ray com puted/magnetic resonance in aging/pathology分类
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孙志强,罗莉漫,陈信坚,阳昱恒,赵林,宋佳,沈桂萍,曾晓华..炎性肌纤维母细胞瘤的影像学诊断[J].中国中西医结合影像学杂志,2011,9(5):397-399,404,4.