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脾血管肉瘤的CT和MR表现

CT and MR findings of splenic angiosarcoma.

作者信息

Imaoka I, Sugimura K, Furukawa M, Kuroda S, Yasui K

机构信息

Department of Radiology, Shimane Medical University, Izumo, Japan.

出版信息

Radiat Med. 1999 Jan-Feb;17(1):67-70.

Abstract

A surgically confirmed primary splenic angiosarcoma is described. Although angiography showed most of the characteristic findings of the present patient, MR imaging provided a useful information as a supplemental tool. The tumor demonstrated low-signal intensity on both T1- and T2-weighted images, which might differ from hemangioma findings. Subacute hemorrhage within the tumor was revealed by MR imaging, suggesting the way in which the tumor grew during a short period of time. This finding was different from reported angiosarcoma MR findings of siderotic nodules within the tumor. After the administration of Gd-DTPA, MR images clearly demonstrated heterogeneous enhancement within the tumor, which corresponded to the pathologic findings of solid parenchyma with necrotic tissues.

摘要

本文描述了一例经手术确诊的原发性脾血管肉瘤。尽管血管造影显示了该患者的大部分特征性表现,但磁共振成像(MR成像)作为一种辅助工具提供了有用的信息。肿瘤在T1加权像和T2加权像上均表现为低信号强度,这可能与血管瘤的表现不同。MR成像显示肿瘤内有亚急性出血,提示肿瘤在短时间内的生长方式。这一发现与报道的肿瘤内含铁结节性血管肉瘤的MR表现不同。静脉注射钆喷酸葡胺(Gd-DTPA)后,MR图像清晰显示肿瘤内不均匀强化,这与实体实质伴坏死组织的病理表现相符。

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