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[周围神经肿瘤]

[Tumors of peripheral nerves].

作者信息

Ho Michael, Lutz Amelie M

机构信息

Institut für Diagnostische Radiologie, Universitätsklinikum Zürich, Rämistraße 100, 8091, Zürich, Schweiz.

Department of Radiology, Stanford University School of Medicine, 94305, Stanford, CA, USA.

出版信息

Radiologe. 2017 Mar;57(3):204-212. doi: 10.1007/s00117-017-0215-1.

DOI:10.1007/s00117-017-0215-1
PMID:28188347
Abstract

BACKGROUND

Differentiation between malignant and benign tumors of peripheral nerves in the early stages is challenging; however, due to the unfavorable prognosis of malignant tumors early identification is required.

OBJECTIVES

To show the possibilities for detection, differential diagnosis and clinical management of peripheral nerve tumors by imaging appearance in magnetic resonance (MR) neurography.

MATERIAL AND METHODS

Review of current literature available in PubMed and MEDLINE, supplemented by the authors' own observations in clinical practice.

RESULTS

Although not pathognomonic, several imaging features have been reported for a differentiation between distinct peripheral nerve tumors.

CONCLUSION

The use of MR neurography enables detection and initial differential diagnosis in tumors of peripheral nerves. Furthermore, it plays an important role in clinical follow-up, targeted biopsy and surgical planning.

摘要

背景

早期区分周围神经的恶性和良性肿瘤具有挑战性;然而,由于恶性肿瘤预后不良,需要早期识别。

目的

通过磁共振(MR)神经造影的影像学表现展示周围神经肿瘤的检测、鉴别诊断及临床管理的可能性。

材料与方法

回顾PubMed和MEDLINE上的现有文献,并辅以作者在临床实践中的自身观察。

结果

尽管并非具有特异性,但已有多项影像学特征可用于区分不同的周围神经肿瘤。

结论

MR神经造影的应用能够实现周围神经肿瘤的检测及初步鉴别诊断。此外,它在临床随访、靶向活检及手术规划中发挥着重要作用。

相似文献

1
[Tumors of peripheral nerves].[周围神经肿瘤]
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本文引用的文献

1
Advanced MR imaging of peripheral nerve sheath tumors including diffusion imaging.外周神经鞘瘤的高级磁共振成像,包括扩散成像。
Semin Musculoskelet Radiol. 2015 Apr;19(2):179-90. doi: 10.1055/s-0035-1546823. Epub 2015 Mar 12.
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Conventional and functional MR imaging of peripheral nerve sheath tumors: initial experience.周围神经鞘瘤的传统及功能磁共振成像:初步经验
AJNR Am J Neuroradiol. 2014 Aug;35(8):1615-20. doi: 10.3174/ajnr.A3910. Epub 2014 Apr 24.
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Magnetic resonance neurography of peripheral nerve tumors and tumorlike conditions.
磁共振神经成像在外周神经肿瘤和肿瘤样病变中的应用。
Neuroimaging Clin N Am. 2014 Feb;24(1):171-92. doi: 10.1016/j.nic.2013.03.035. Epub 2013 May 30.
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Pancoast tumor: the role of magnetic resonance imaging.潘科斯特瘤:磁共振成像的作用
Case Rep Radiol. 2013;2013:479120. doi: 10.1155/2013/479120. Epub 2013 Mar 31.
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Anatomic MR imaging and functional diffusion tensor imaging of peripheral nerve tumors and tumorlike conditions.周围神经肿瘤和瘤样病变的解剖磁共振成像和功能弥散张量成像。
AJNR Am J Neuroradiol. 2013 Apr;34(4):802-7. doi: 10.3174/ajnr.A3316. Epub 2012 Nov 1.
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Localized hypertrophic neuropathy of the sciatic nerve in children: MRI findings.儿童坐骨神经局灶性肥大性神经病:MRI 表现。
Pediatr Radiol. 2012 Aug;42(8):952-8. doi: 10.1007/s00247-012-2418-y. Epub 2012 Jul 26.
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The role of magnetic resonance imaging in the diagnostic evaluation of malignant peripheral nerve sheath tumors.磁共振成像在恶性外周神经鞘瘤诊断评估中的作用。
Indian J Cancer. 2011 Jul-Sep;48(3):328-34. doi: 10.4103/0019-509x.84945.
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Peripheral tumor and tumor-like neurogenic lesions.周围性肿瘤和神经源性肿瘤样病变。
Eur J Radiol. 2013 Jan;82(1):38-50. doi: 10.1016/j.ejrad.2011.04.036. Epub 2011 May 10.
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Recurrent neurotropic chloroma: report of a case and review of the literature.复发性亲神经性绿色瘤:一例报告并文献复习
Adv Hematol. 2011;2011:854240. doi: 10.1155/2011/854240. Epub 2010 Dec 1.
10
Tumors and tumor-like lesions of peripheral nerves.周围神经肿瘤及肿瘤样病变
Semin Musculoskelet Radiol. 2010 Nov;14(5):547-58. doi: 10.1055/s-0030-1268073. Epub 2010 Nov 11.