Leonard L, Meyer H J, Surov A
Klinik für Diagnostische und Interventionelle Radiologie, Universitätsklinikum Leipzig, Liebigstraße 20, 04103, Leipzig, Deutschland.
Radiologe. 2017 Dec;57(12):1059-1070. doi: 10.1007/s00117-017-0323-y.
There are many different tumors and tumor-like lesions with variable biological behavior that may affect the skeletal musculature. The aim of this study was to review the different intramuscular lesions and to provide a classification based on their radiological patterns. Intramuscular lesions can present as solid, liquid, semiliquid or fat equivalent manifestations and also as diffuse muscle enlargement and muscle calcification. Additionally, lesions with mixed patterns of the aforementioned alterations can also occur. Benign and malignant muscle lesions can often manifest with identical radiological patterns, which is why a certain differentiation is often difficult. A systematic radiological description and when possible assignment with respect to etiology and dignity depending on the patient history is necessary in order to recommend a subsequent histological confirmation or to avoid unnecessary confirmation.
有许多不同的肿瘤和肿瘤样病变，其生物学行为各异，可能会影响骨骼肌。本研究的目的是回顾不同的肌内病变，并根据其放射学表现提供一种分类。肌内病变可表现为实性、液性、半液性或脂肪等效表现，也可表现为弥漫性肌肉增大和肌肉钙化。此外，也可出现具有上述改变混合模式的病变。良性和恶性肌肉病变通常可表现出相同的放射学表现，这就是为什么常常难以进行一定区分的原因。为了推荐后续的组织学确诊或避免不必要的确诊，需要进行系统的放射学描述，并在可能的情况下根据患者病史对病因和性质进行判定。
