Oca Pernas Roque, Prada González Raquel, Santos Armentia Eloísa, Hormaza Aguirre Nerea, Tardáguila de la Fuente Gonzalo, Trinidad López Carmen, Delgado Sánchez-Gracián Carlos
Radiology Department, Povisa Hospital, Salamanca S/N, 36211, Vigo, Spain,
Skeletal Radiol. 2015 Apr;44(4):477-90. doi: 10.1007/s00256-014-2040-1. Epub 2014 Nov 1.
Soft-tissue lesions of the fingers are commonly found in daily clinical practice. A wide range of tumors and pseudotumors have been described in this location, and the majority of them are benign. Ganglion cysts are the most common entity, and the localized type of tenosynovial giant cell tumors are the most frequent solid condition. Both may be easily recognized owing to their typical clinical and radiological characteristics. However, categorization of the spectrum of soft-tissue lesions of the fingers remains limited, despite imaging development, and many patients undergo surgery before radiological or histological diagnosis. Clinical history, radiographic features, and ultrasound and magnetic resonance patterns may help in obtaining the correct diagnosis or reducing the list of differential diagnoses. Radiologists should be familiar with imaging findings so that they can determine the size, extension, and affected neighboring anatomical structures, and provide information that allows adequate presurgical counseling.
手指软组织病变在日常临床实践中很常见。该部位已描述了多种肿瘤和瘤样病变,其中大多数为良性。腱鞘囊肿是最常见的病变,局限性腱鞘巨细胞瘤是最常见的实性病变。由于其典型的临床和放射学特征,两者都很容易识别。然而,尽管影像学有所发展,但手指软组织病变谱的分类仍然有限,许多患者在进行放射学或组织学诊断之前就接受了手术。临床病史、影像学特征以及超声和磁共振表现可能有助于获得正确诊断或减少鉴别诊断的范围。放射科医生应熟悉影像学表现,以便确定病变的大小、范围以及受累的邻近解剖结构,并提供有助于进行充分术前咨询的信息。