Forrester D M, Becker T S
Orthop Clin North Am. 1977 Oct;8(4):973-8.
Solitary lesions of bone often have characteristic radiographic patterns that suggest the diagnosis of a specific bone tumor. Differentiation of tumor from infection, however, frequently may be impossible, and the majority of bone lesions require biopsy for histologic confirmation of the type of tumor or for identification of the infectious organism. Soft tissue masses, unlike bone tumors, most commonly look alike. They too require biopsy, but in this case to distinguish a benign mass from a soft tissue sarcoma. Special radiographic techniques such as isotopic and CAT scans or angiography add information about the morphology and response of adjacent bone, but fail to differentiate one category of disease from another or to establish a histologic diagnosis of the type of tumor.
骨的孤立性病变通常具有特征性的影像学表现,提示特定骨肿瘤的诊断。然而,将肿瘤与感染区分开来往往是不可能的,大多数骨病变需要进行活检,以通过组织学确定肿瘤类型或识别感染病原体。与骨肿瘤不同,软组织肿块通常外观相似。它们也需要活检,但目的是区分良性肿块与软组织肉瘤。同位素扫描、计算机断层扫描(CAT)或血管造影等特殊影像学技术可提供有关相邻骨的形态和反应的信息,但无法区分不同类型的疾病,也无法确定肿瘤类型的组织学诊断。