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肌内软骨样脂肪瘤:“脂肪环征”的磁共振成像诊断。

Intramuscular chondroid lipoma: magnetic resonance imaging diagnosis by 'fat ring sign'.

机构信息

Department of Radiology, Hacettepe University Faculty of Medicine, Ankara, Turkey.

Department of Pathology, Hacettepe University Faculty of Medicine, Ankara, Turkey.

出版信息

Balkan Med J. 2015 Jan;32(1):107-10. doi: 10.5152/balkanmedj.2014.14035. Epub 2015 Jan 1.

Abstract

BACKGROUND

Chondroid lipoma is an extremely rare variant of benign lipomatous lesions that is composed of lipoblasts, mature fat, and chondroid matrix. Although benign lipomatous lesions are the most common soft tissue tumors and imaging findings are often pathognomonic, there have been few reports describing the imaging features of chondroid lipoma.

CASE REPORT

We present magnetic resonance imaging (MRI) findings of a pelvic intramuscular chondroid lipoma in a 59 year-old man and describe a "fat ring sign" that may be useful to diagnose this rare tumor radiologically.

CONCLUSION

Magnetic resonance imaging findings of a chondroid lipoma may be heterogenous according to the distribution of the fatty and chondroid tissue. However, in the presence of "fat ring sign," radiologists should consider a diagnosis of chondroid lipoma preoperatively.

摘要

背景

软骨样脂肪瘤是一种极其罕见的良性脂肪样病变,由脂肪母细胞、成熟脂肪和软骨基质组成。尽管良性脂肪样病变是最常见的软组织肿瘤,影像学表现通常具有特征性,但很少有报道描述软骨样脂肪瘤的影像学特征。

病例报告

我们呈现了一名 59 岁男性的骨盆肌内软骨样脂肪瘤的磁共振成像(MRI)结果,并描述了一个“脂肪环征”,这可能有助于在影像学上诊断这种罕见的肿瘤。

结论

软骨样脂肪瘤的磁共振成像表现可能因其脂肪和软骨组织的分布而异。然而,在存在“脂肪环征”的情况下,放射科医生术前应考虑诊断为软骨样脂肪瘤。

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