软组织肿块和类似肿块病变：CT 对诊断和处理有何帮助？
Soft-tissue masses and masslike conditions: what does CT add to diagnosis and management?
机构信息
The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins Medical Institutions, Baltimore, MD 21287, USA.
出版信息
AJR Am J Roentgenol. 2010 Jun;194(6):1559-67. doi: 10.2214/AJR.09.3736.
Abstract
OBJECTIVE
Although MRI is the technique of choice for evaluating most soft-tissue masses, CT often provides valuable complementary information. Specifically, there are distinguishing CT characteristics that can suggest a specific diagnosis, including the lesion's mineralization pattern, density, pattern of adjacent bone involvement, and degree and pattern of vascularity.
CONCLUSION
This article provides an overview of the CT evaluation of soft-tissue masses, emphasizing a differential diagnosis based on these CT features.
摘要
目的
虽然 MRI 是评估大多数软组织肿块的首选技术，但 CT 通常提供有价值的补充信息。具体来说，有一些特征性的 CT 表现可以提示特定的诊断，包括病变的矿化模式、密度、邻近骨受累的模式以及血管化的程度和模式。
结论
本文概述了 CT 对软组织肿块的评估，强调基于这些 CT 特征的鉴别诊断。
相似文献
1
Soft-tissue masses and masslike conditions: what does CT add to diagnosis and management?软组织肿块和类似肿块病变：CT 对诊断和处理有何帮助？
AJR Am J Roentgenol. 2010 Jun;194(6):1559-67. doi: 10.2214/AJR.09.3736.
2
Diagnosis of soft-tissue masses.软组织肿块的诊断
AJR Am J Roentgenol. 2011 Aug;197(2):W365. doi: 10.2214/AJR.10.5203.
3
MRI of Soft-Tissue Tumors: What to Include in the Report.软组织肿瘤的磁共振成像：报告中应包含的内容。
Radiographics. 2024 Jun;44(6):e230086. doi: 10.1148/rg.230086.
4
Non Lipomatous Benign Lesions Mimicking Soft-tissue Sarcomas: A Pictorial Essay.酷似软组织肉瘤的非脂肪瘤性良性病变：图文综述
In Vivo. 2018 Mar-Apr;32(2):221-229. doi: 10.21873/invivo.11228.
5
Radiological features and pathology of extraskeletal mesenchymal chondrosarcoma.骨外间叶性软骨肉瘤的放射学特征和病理学。
Clin Imaging. 2012 Jul-Aug;36(4):365-70. doi: 10.1016/j.clinimag.2011.11.001. Epub 2012 Jun 8.
6
Diffuse mineralization of forearm extraskeletal chondroma.前臂骨外软骨瘤弥漫性矿化。
Joint Bone Spine. 2008 Jul;75(4):479-81. doi: 10.1016/j.jbspin.2007.06.019. Epub 2008 Apr 25.
7
Imaging of Soft-Tissue Musculoskeletal Masses: Fundamental Concepts.软组织肌肉骨骼肿块的影像学：基本概念
Radiographics. 2016 Oct;36(6):1931-1948. doi: 10.1148/rg.2016160084.
8
Diagnosis and Management of Soft-tissue Masses.软组织肿块的诊断与管理
J Am Acad Orthop Surg. 2014 Nov;22(11):742-50. doi: 10.5435/JAAOS-22-11-742.
9
CT of calcified renal masses.钙化性肾肿块的CT检查
AJR Am J Roentgenol. 1982 Jun;138(6):1095-9. doi: 10.2214/ajr.138.6.1095.
10
Accuracy and role of contrast-enhanced CT in diagnosis and surgical planning in 88 soft tissue tumours of extremities.增强CT在88例肢体软组织肿瘤诊断及手术规划中的准确性和作用
Eur Radiol. 2016 Jul;26(7):2400-8. doi: 10.1007/s00330-015-4047-y. Epub 2015 Oct 8.
引用本文的文献
1
Canine intrapericardial extracardiac myxosarcoma causing pericardial effusion and tamponade.犬心包内心脏外黏液肉瘤导致心包积液和心脏压塞。
Can Vet J. 2025 May;66(5):505-509.
2
Customization of Computed Tomography Radio-Opacity in 3D-Printed Contrast-Injectable Tumor Phantoms.3D打印可注射造影剂肿瘤模型中计算机断层扫描射线不透明度的定制
Micromachines (Basel). 2024 Jul 31;15(8):992. doi: 10.3390/mi15080992.
3
Sellar masses: diagnosis and treatment.鞍区肿物：诊断与治疗
Front Ophthalmol (Lausanne). 2022 Nov 24;2:970580. doi: 10.3389/fopht.2022.970580. eCollection 2022.
4
CT in musculoskeletal imaging: still helpful and for what?CT 在肌肉骨骼成像中的应用：仍有帮助，适用于哪些情况？
Skeletal Radiol. 2024 Sep;53(9):1711-1725. doi: 10.1007/s00256-024-04737-w. Epub 2024 Jul 6.
5
CT and MR imaging findings of head and neck chondrosarcoma.头颈部软骨肉瘤的CT和MR成像表现
Oral Radiol. 2024 Apr;40(2):242-250. doi: 10.1007/s11282-023-00729-z. Epub 2023 Dec 18.
6
Differentiation between Chondrosarcoma and Synovial Chondromatosis of the Temporomandibular Joint Using CT and MR Imaging.CT 和 MRI 成像在颞下颌关节软骨肉瘤与滑膜软骨瘤病鉴别诊断中的应用。
AJNR Am J Neuroradiol. 2023 Oct;44(10):1176-1183. doi: 10.3174/ajnr.A7980. Epub 2023 Aug 31.
7
Automatic segmentation of neurovascular bundle on mri using deep learning based topological modulated network.基于深度学习拓扑调制网络的 MRI 神经血管束自动分割。
Med Phys. 2023 Sep;50(9):5479-5488. doi: 10.1002/mp.16378. Epub 2023 Mar 25.
8
Lung schwannomas, an unusual entity: A series of five cases.肺神经鞘瘤：一种罕见的疾病——5例病例系列报道
Lung India. 2023 Jan-Feb;40(1):70-74. doi: 10.4103/lungindia.lungindia_197_22.
9
Comparison of epicardial adipose tissue volume quantification between ECG-gated cardiac and non-ECG-gated chest computed tomography scans.心电图门控心脏和非心电图门控胸部 CT 扫描中心外膜脂肪组织体积定量比较。
BMC Cardiovasc Disord. 2022 Dec 13;22(1):545. doi: 10.1186/s12872-022-02958-2.
10
Imaging evaluation of the pediatric mediastinum: new International Thymic Malignancy Interest Group classification system for children.儿童纵隔的影像学评估：新的国际胸腺癌恶性肿瘤兴趣组儿童分类系统。
Pediatr Radiol. 2022 Sep;52(10):1948-1962. doi: 10.1007/s00247-022-05361-3. Epub 2022 Apr 27.
本文引用的文献
1
Direct CT venography for evaluation of the lower extremity venous anomalies of Klippel-Trenaunay Syndrome.直接CT静脉造影术用于评估Klippel-Trenaunay综合征的下肢静脉异常。
AJR Am J Roentgenol. 2009 Jun;192(6):W311-6. doi: 10.2214/AJR.08.1151.
2
Fluid-fluid level formation: a rare finding of extracranial head and neck schwannomas.液-液平面形成：颅外头颈部神经鞘瘤的罕见表现。
AJNR Am J Neuroradiol. 2009 Aug;30(7):1451-3. doi: 10.3174/ajnr.A1511. Epub 2009 Mar 11.
3
Medical radiation exposure in the U.S. in 2006: preliminary results.2006年美国的医疗辐射暴露：初步结果。
Health Phys. 2008 Nov;95(5):502-7. doi: 10.1097/01.HP.0000326333.42287.a2.
4
CT of the musculoskeletal system: what is left is the days of MRI?肌肉骨骼系统的CT：MRI的时代还剩下什么？
Eur Radiol. 2009 Jan;19(1):152-64. doi: 10.1007/s00330-008-1129-0. Epub 2008 Aug 9.
5
Radiology of soft tissue tumors including melanoma.软组织肿瘤（包括黑色素瘤）的放射学
Cancer Treat Res. 2008;143:423-52. doi: 10.1007/978-0-387-75587-8_16.
6
Classification and pathology.
Surg Clin North Am. 2008 Jun;88(3):483-520, v-vi. doi: 10.1016/j.suc.2008.03.007.
7
World Health Organization classification of bone and soft tissue tumors: modifications and implications for radiologists.世界卫生组织骨与软组织肿瘤分类：对放射科医生的修订及影响
Semin Musculoskelet Radiol. 2007 Sep;11(3):201-14. doi: 10.1055/s-2008-1038310.
8
Radiological features of synovial cell sarcoma.滑膜肉瘤的放射学特征。
Br J Radiol. 2008 Apr;81(964):346-56. doi: 10.1259/bjr/28335824. Epub 2008 Feb 4.
9
Diffusion-weighted and diffusion tensor imaging for pediatric musculoskeletal disorders.用于小儿肌肉骨骼疾病的扩散加权成像和扩散张量成像。
Pediatr Radiol. 2007 Aug;37(8):781-8. doi: 10.1007/s00247-007-0517-y. Epub 2007 Jun 28.
10
New techniques for the evaluation and therapeutic planning of patients with Klippel-Trénaunay syndrome.用于评估和治疗Klippel-Trénaunay综合征患者的新技术。
J Am Acad Dermatol. 2007 Feb;56(2):242-9. doi: 10.1016/j.jaad.2006.08.057. Epub 2006 Dec 18.
Zotero 插件