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恶性皮肤肿瘤的影像学表现:放射学与病理学的相关性

Imaging findings of malignant skin tumors: radiological-pathological correlation.

作者信息

Kawaguchi Masaya, Kato Hiroki, Noda Yoshifumi, Kobayashi Kazuhiro, Miyazaki Tatsuhiko, Hyodo Fuminori, Matsuo Masayuki

机构信息

Department of Radiology, Gifu University, 1-1 Yanagido, Gifu, 501-1194, Japan.

Department of Pathology, Gifu University, Gifu, Japan.

出版信息

Insights Imaging. 2022 Mar 22;13(1):52. doi: 10.1186/s13244-022-01205-8.

Abstract

Sometimes, radiologists encounter malignant skin tumors (MSTs) during image interpretation. As MSTs require different clinical management modalities for each histological subtype, accurate preoperative diagnosis is essential. The histological subtypes of MST can be easily assessed by visual inspection or biopsy. Therefore, the significant role of radiological imaging in MSTs is to evaluate the extent of local invasion, nodal involvement, and distant metastasis, and the histological estimation of MSTs by radiological imaging has not been reported until a few years ago. However, recent studies have revealed characteristic radiological features for differential diagnosis of MSTs, such as configuration, intratumoral homogeneity, signal intensity, cyst formation, and hemorrhage. Other important clinical data for determining the histological subtype of MST include age, gender, and site of occurrence. MSTs can be categorized as epidermal, melanocytic, adnexal, and mesenchymal tumors based on the origin and have distinctive characteristics. Hence, this review article was designed to describe the clinical and radiological features of MSTs.

摘要

有时,放射科医生在影像解读过程中会遇到恶性皮肤肿瘤(MSTs)。由于MSTs的每种组织学亚型都需要不同的临床管理模式,准确的术前诊断至关重要。MST的组织学亚型可以通过肉眼检查或活检轻松评估。因此,放射影像学在MSTs中的重要作用是评估局部侵袭范围、淋巴结受累情况和远处转移,而直到几年前,通过放射影像学对MSTs进行组织学评估的报道还很少。然而,最近的研究已经揭示了用于MSTs鉴别诊断的特征性放射学特征,如形态、肿瘤内均匀性、信号强度、囊肿形成和出血。其他用于确定MST组织学亚型的重要临床数据包括年龄、性别和发病部位。根据起源,MSTs可分为表皮肿瘤、黑素细胞肿瘤、附属器肿瘤和间充质肿瘤,且各有独特特征。因此,这篇综述文章旨在描述MSTs的临床和放射学特征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03cf/8941041/8955272ec548/13244_2022_1205_Fig1_HTML.jpg

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