Caro-Domínguez Pablo, Navarro Oscar M
Department of Medical Imaging, University of Toronto, Toronto, ON, Canada.
Department of Diagnostic Imaging, The Hospital for Sick Children, 555 University Ave., Toronto, ON, M5G 1X8, Canada.
Pediatr Radiol. 2017 May;47(6):739-749. doi: 10.1007/s00247-016-3752-2. Epub 2017 May 5.
Tumors of the foot are rare in children. This review illustrates radiographic, CT and MR imaging findings of foot bone tumors in children based on all cases presented in a tertiary pediatric hospital during the 15-year period of 1999-2014. This search revealed 155 tumors of the foot, 72 of the bones and 83 of the soft tissues. Osteochondroma, bone cyst and fibrous dysplasia were the most frequent benign bone lesions. Ewing sarcoma was the most common malignant osseous tumor. Some tumors showed higher prevalence in certain age ranges and others showed predilection for specific bones. Radiographs are useful for diagnosis in the majority of cases but CT and MR imaging provide additional valuable information in select cases for diagnosis and determining extent of the lesions. Radiologists should be aware of some typical imaging findings in bone tumors of the foot in order to establish diagnosis and facilitate patient management.
足部肿瘤在儿童中较为罕见。本综述基于一家三级儿科医院在1999年至2014年这15年间所呈现的所有病例,阐述了儿童足部骨肿瘤的X线、CT及MR成像表现。该研究共发现155例足部肿瘤,其中72例为骨肿瘤,83例为软组织肿瘤。骨软骨瘤、骨囊肿和纤维发育不良是最常见的良性骨病变。尤因肉瘤是最常见的恶性骨肿瘤。一些肿瘤在特定年龄范围内发病率较高,另一些则对特定骨骼有偏好。在大多数病例中,X线片对诊断有用,但CT和MR成像在某些病例中为诊断及确定病变范围提供了额外的有价值信息。放射科医生应了解足部骨肿瘤的一些典型影像学表现,以便做出诊断并促进患者管理。