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[软组织恶性纤维组织细胞瘤。计算机断层扫描的可能性与局限性]

[Malignant fibrous histiocytoma of soft tissue. Possibilities and limitations of computed tomography].

作者信息

Rotte K H, Kleinau H, Kriedemann E, Perlick E, Schmidt-Peter P

机构信息

Zentralinstitut für Krebsforschung, Akademie der Wissenschaften, DDR, Berlin-Buch.

出版信息

Rofo. 1988 May;148(5):520-3. doi: 10.1055/s-2008-1048240.

Abstract

Computed tomography was performed in 27 patients with confirmed malignant fibrous histiocytoma of the soft tissue. Compared with the CT results obtained in other tumours of the soft tissues. CT accuracy in malignant fibrous histiocytoma was only 74%. Non-typical attenuation values, diffuse tumour growth and non-typical contrast enhancement are discussed as reasons for the diagnostic understaging or overstaging of these soft tissue tumours. A higher accuracy was found on ultrasound examination with regard to tumour extension. Bone destruction was better visualised by CT. A base-line CT is recommended postoperatively for the earlier detection of recurrent tumours in further investigations.

摘要

对27例确诊为软组织恶性纤维组织细胞瘤的患者进行了计算机断层扫描。与其他软组织肿瘤的CT结果相比,恶性纤维组织细胞瘤的CT准确率仅为74%。讨论了非典型衰减值、肿瘤弥漫性生长和非典型对比增强作为这些软组织肿瘤诊断分期过低或过高的原因。超声检查在肿瘤范围方面的准确率更高。CT能更好地显示骨质破坏。建议术后进行基线CT检查,以便在进一步检查中更早发现复发性肿瘤。

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