Department of Radiology, University of Chicago, Chicago, IL, USA.
Department of Radiology, Sharp Rees Stealy Medical Group, San Diego, CA, USA.
Can Assoc Radiol J. 2020 May;71(2):161-173. doi: 10.1177/0846537119888356. Epub 2020 Jan 22.
Imaging studies of the hands and fingers are common, and radiologists are generally comfortable with traumatic and degenerative conditions which arise frequently in daily practice. However, a variety of common and uncommon soft-tissue tumors also occur in the hand, the appropriate diagnosis of which can be a source of confusion for both clinicians and radiologists. These lesions often have overlapping imaging characteristics; however, a structured approach can help provide a focused differential diagnosis and impact further workup and management. We discuss several such tumors, categorizing them as cystic-appearing, noncystic masses along tendons and aponeuroses, adipocytic tumors, vascular lesions, and miscellaneous lesions with imaging features that can aid diagnosis.
手部和手指的影像学检查很常见,放射科医生通常对日常实践中经常出现的创伤性和退行性疾病较为熟悉。然而,手部也会出现各种常见和不常见的软组织肿瘤,这对临床医生和放射科医生来说都是一个容易混淆的诊断来源。这些病变通常具有重叠的影像学特征;然而,采用结构化的方法有助于提供针对性的鉴别诊断,并影响进一步的检查和管理。我们讨论了几种这样的肿瘤,将它们分为囊状、沿肌腱和腱膜的非囊状肿块、脂肪性肿瘤、血管性病变以及具有有助于诊断的影像学特征的各种病变。