Cakir Ozgür, Topal Uğur, Bayram A Sami, Tolunay Sahsine
Radyotom-Radyomar Imaging Center, Bakirköy, Istanbul, Turkey.
Diagn Interv Radiol. 2005 Mar;11(1):23-7.
In this article, it is aimed to review the radiological signs of unusual primary malignant tumors of the thorax. Radiological studies of 11 patients with histologic diagnosis of thoracic sarcomas were interpreted retrospectively. Tumors originated from the chest wall (n=3), mediastinum (n=4), and pulmonary parenchyma (n=4). Histopathologic diagnoses were fibrosarcoma (n=1), alveolar rhabdomyosarcoma (n=1), malignant hemangiopericytoma (n=1), malignant fibrous histiocytoma (n=2), pulmonary vein leiomyosarcoma (n=1), pulmonary artery sarcoma (n=2), pleuropulmonary blastoma (n=1), and chondrosarcoma (n=2). In order to evaluate thoracic sarcomas, cross-sectional methods such as CT and MRI can be useful in demonstrating the origin of the mass, relationship with and involvement of adjacent structures. They present as masses and, unfortunately, radiological findings are not sufficient for specific diagnosis.
本文旨在综述胸部罕见原发性恶性肿瘤的影像学表现。对11例经组织学诊断为胸部肉瘤的患者的影像学研究进行回顾性分析。肿瘤起源于胸壁(n = 3)、纵隔(n = 4)和肺实质(n = 4)。组织病理学诊断为纤维肉瘤(n = 1)、肺泡横纹肌肉瘤(n = 1)、恶性血管外皮细胞瘤(n = 1)、恶性纤维组织细胞瘤(n = 2)、肺静脉平滑肌肉瘤(n = 1)、肺动脉肉瘤(n = 2)、胸膜肺母细胞瘤(n = 1)和软骨肉瘤(n = 2)。为评估胸部肉瘤,CT和MRI等横断面检查方法有助于显示肿块的起源、与相邻结构的关系及受累情况。它们表现为肿块,遗憾的是,影像学表现不足以进行特异性诊断。