Park Sung Bin, Kang Byeong Seong
Department of Radiology, Chung-Ang University Hospital, Chung-Ang University College of Medicine, 102, Heukseok-ro, Dongjak-gu, Seoul, 06973, Korea.
Department of Radiology, Ulsan University Hospital, Ulsan University College of Medicine, Ulsan, Korea.
Jpn J Radiol. 2017 Sep;35(9):485-494. doi: 10.1007/s11604-017-0657-4. Epub 2017 Jun 12.
Soft-tissue lesions of the musculoskeletal system are commonly encountered in clinical practice and often manifest as palpable lesions. Moreover, the increasing use of cross-sectional imaging such as CT or MRI has resulted in the incidental detection of many soft-tissue lesions. Ultrasonography remains the primary imaging investigation for soft-tissue lesions. It has been shown to be helpful in depicting processes involving the soft-tissue lesions on cross-sectional imaging. This article describes the ultrasonographic findings of the most frequently incidentally detected benign and malignant soft-tissue lesions on cross-sectional imaging and suggests the characteristics of such diseases, focusing on the ultrasonographic features that allow accurate diagnosis. Familiarity with the clinical setting and the appearance of soft-tissue lesions on both ultrasonography and cross-sectional imaging can lead to accurate diagnosis and appropriate management of the condition.
肌肉骨骼系统的软组织病变在临床实践中很常见,通常表现为可触及的病变。此外,CT或MRI等横断面成像技术的使用日益增加,导致许多软组织病变被偶然发现。超声检查仍然是软组织病变的主要影像学检查方法。它已被证明有助于在横断面成像中描绘涉及软组织病变的过程。本文描述了横断面成像中最常偶然发现的良性和恶性软组织病变的超声表现,并提出了此类疾病的特征,重点关注有助于准确诊断的超声特征。熟悉临床情况以及软组织病变在超声检查和横断面成像中的表现,有助于准确诊断并对病情进行适当处理。