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儿童常见良性骨肿瘤诊断中的陷阱

Pitfalls in the diagnosis of common benign bone tumours in children.

作者信息

Dumitriu Dana I, Menten Renaud, Clapuyt Philippe

机构信息

Department of Radiology, Pediatric Radiology Unit, Cliniques Universitaires Saint Luc, Université Catholique de Louvain, Avenue Hippocrate no. 10, 1200, Brussels, Belgium,

出版信息

Insights Imaging. 2014 Dec;5(6):645-55. doi: 10.1007/s13244-014-0356-y. Epub 2014 Sep 26.

Abstract

Benign bone tumours in children are frequent lesions, often with a typical and very identifiable radiological presentation. However, their natural evolution and complications may be the source of variations and errors in interpretation. It is therefore important to understand the possible sources of change in the radiological aspect and to be familiar with common pseudotumoral lesions. The main aim of this review is to review typical aspects of the most common benign bone tumours in children, as well as less frequent variants of these tumours. Teaching points • Benign bone tumours in children may have atypical radiological presentations. • Some normal variants are commonly misinterpreted as tumours. • X-ray is the main imaging tool for focal bone lesions. • Depending on the X-ray, complementary imaging examinations and biopsy may be necessary.

摘要

儿童良性骨肿瘤是常见病变,通常具有典型且极易识别的放射学表现。然而,它们的自然演变和并发症可能导致解读出现差异和错误。因此,了解放射学表现可能发生变化的潜在原因并熟悉常见的假瘤性病变很重要。本综述的主要目的是回顾儿童最常见良性骨肿瘤的典型特征,以及这些肿瘤较少见的变异类型。教学要点 • 儿童良性骨肿瘤可能有非典型的放射学表现。 • 一些正常变异常被误诊为肿瘤。 • X线是局灶性骨病变的主要影像学检查手段。 • 根据X线检查结果,可能需要进行补充影像学检查和活检。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ff5/4263798/5ad1ae29bb55/13244_2014_356_Fig1_HTML.jpg

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