高级磁共振成像在慢性不愈合溃疡评估中的应用——罕见原发性皮肤平滑肌肉瘤病例报告
Advanced Magnetic Resonance Imaging in the Evaluation of a Chronic Non-healing ulcer - A Case Report of Rare Primary Cutaneous Leiomyosarcoma.
作者信息
Ahluwalia Vandana V, Singh Pratish Kumar, Singh Hari, Samanta Sunanda
机构信息
Department of Radiodiagnosis, Sarojini Naidu Medical College, Agra, Uttar Pradesh, India.
出版信息
J Orthop Case Rep. 2018 Jul-Aug;8(4):7-10. doi: 10.13107/jocr.2250-0685.1134.
INTRODUCTION
Primary cutaneous leiomyosarcoma of the skin is extremely uncommon superficial soft tissue sarcoma. The uniqueness of this case is the exceedingly rarity of the tumor and its potential to be clinically misdiagnosed as squamous cell carcinoma. We report an interesting and rare case of PCL with unusual clinical presentation.
CASE REPORT
Our case documents the radiological approach and importance of newer magnetic resonance imaging sequences in helping the diagnosis of a rare case of primary en plaque cutaneous leiomyosarcoma of lower extremity in a 60-year-old male, farmer by occupation with superficial ulceration and local invasion presenting as chronic non-healing ulcerative lesion.
CONCLUSION
Contrast-enhanced MRI when coupled with advanced imaging sequence such as magnetic resonance spectroscopy and diffusion-weighted imaging further increases malignant probability of the lesion and guides the surgeon for a definite treatment plan.
引言
原发性皮肤平滑肌肉瘤是一种极为罕见的浅表软组织肉瘤。该病例的独特之处在于肿瘤极其罕见，且在临床上有被误诊为鳞状细胞癌的可能。我们报告一例临床表现不寻常的原发性皮肤平滑肌肉瘤的有趣罕见病例。
病例报告
我们的病例记录了放射学检查方法以及新型磁共振成像序列在诊断一名60岁男性农民下肢罕见的原发性斑块状皮肤平滑肌肉瘤中的重要性。该患者职业为农民，表现为浅表溃疡和局部浸润，呈现慢性不愈合溃疡性病变。
结论
对比增强磁共振成像结合磁共振波谱和扩散加权成像等先进成像序列，可进一步提高病变的恶性可能性，并为外科医生制定明确的治疗方案提供指导。
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