Rizer Magda, Singer Adam D, Edgar Mark, Jose Jean, Subhawong Ty K
Department of Radiology, Mount Sinai Medical Center, Miami Beach, FL, USA.
Department of Radiology and Imaging Sciences, Section of Musculoskeletal Imaging, Emory Healthcare, Atlanta, GA, USA.
Skeletal Radiol. 2016 Sep;45(9):1193-204. doi: 10.1007/s00256-016-2409-4. Epub 2016 May 21.
Liposarcoma is the single most common soft tissue sarcoma accounting for up to 35 % of sarcomas. It represents a histologically diverse group of soft tissue tumors that demonstrate a wide range of imaging appearances with varied behavior patterns. Correspondingly, more aggressive histological subtypes often require management that includes a combination of surgery, chemotherapy, and radiation therapy. Distinguishing among liposarcoma subtypes has important therapeutic and prognostic implications. In this manuscript, we review the liposarcoma subtypes and their histologic and MRI findings, prognostic implications, and differential diagnostic considerations.
脂肪肉瘤是最常见的单一软组织肉瘤,占肉瘤的35%。它代表了一组组织学上多样的软组织肿瘤,在影像学上表现广泛,行为模式各异。相应地,侵袭性更强的组织学亚型通常需要综合手术、化疗和放疗的治疗方法。区分脂肪肉瘤亚型具有重要的治疗和预后意义。在本手稿中,我们回顾了脂肪肉瘤的亚型及其组织学和MRI表现、预后意义以及鉴别诊断要点。