Leicher-Düber A, Düber C, Thelen M
Institut für Klinische Strahlenkunde, Johannes-Gutenberg-Universität Mainz.
Rofo. 1988 Dec;149(6):580-6. doi: 10.1055/s-2008-1048410.
Malignant fibrous histiozytoma (MHF) is a pleomorphic sarcoma of ubiquituous origin. The clinical and radiological features of the tumor are illustrated by 23 patients with MFH of soft tissue and 4 MFH of bone. On conventional radiography MFH appears as a soft tissue tumor, sometimes with bone involvement; on sonography it is usually non-homogeneous and hypoechogenic with areas of necrosis. On CT the masses are homogeneous or inhomogeneous (10-60 HU.) containing areas of decreased density. Contrast enhancement was about 10-20 HU. Angiographically the tumor appears as hypo- or hypervascular with pathologic vessels. The morphology of MFH in diagnostic imaging including magnetic resonance tomography is discussed with the relevant literature.
恶性纤维组织细胞瘤（MHF）是一种起源广泛的多形性肉瘤。23例软组织恶性纤维组织细胞瘤和4例骨恶性纤维组织细胞瘤患者展示了该肿瘤的临床和放射学特征。在传统X线摄影中，恶性纤维组织细胞瘤表现为软组织肿瘤，有时累及骨骼；在超声检查中，它通常不均匀且回声低，伴有坏死区域。在CT上，肿块均匀或不均匀（10 - 60 HU），包含密度降低区域。增强扫描后强化约为10 - 20 HU。血管造影显示肿瘤血管较少或较多，伴有病理性血管。本文结合相关文献讨论了包括磁共振断层扫描在内的诊断成像中恶性纤维组织细胞瘤的形态。
