Porrello Giorgia, Cannella Roberto, Alvarez-Hornia Pérez Eduardo, Brancatelli Giuseppe, Vernuccio Federica
Section of Radiology, Department of Biomedicine, Neuroscience and Advanced Diagnosis (Bi.N.D), University of Palermo, Via del Vespro 129, 90127 Palermo, Italy.
Radiology Unit, Department of Diagnostic and Therapeutic Services, IRCCS ISMETT (Mediterranean Institute for Transplantation and Advanced Specialized Therapies), Via Tricomi 5, 90127 Palermo, Italy.
Diagnostics (Basel). 2023 Jan 15;13(2):315. doi: 10.3390/diagnostics13020315.
Abdominal wall neoplasms are usually benign and, in the majority of these cases, no further work-up or treatment is indicated. The percentage of malignant abdominal neoplasms, however, is not negligible. Radiologists play a pivotal role in identifying imaging features that should favor malignancy, including larger lesion size, edema, neurovascular involvement, and peripheral or inhomogeneous dynamic enhancement, thus indicating to the clinician the need for further work-up. Histopathology is the reference standard for the characterization of abdominal wall neoplasms. In patients undergoing surgery, radiological assessment is needed to guide the surgeon by providing a comprehensive anatomic guide of the tumor extension. We present a pictorial review of benign and malignant abdominal wall neoplasms that can be encountered on radiological examinations, with a main focus on CT and MRI features that help in narrowing the differential diagnosis.
腹壁肿瘤通常为良性,在大多数此类病例中,无需进一步检查或治疗。然而,恶性腹壁肿瘤的比例也不容忽视。放射科医生在识别提示恶性的影像学特征方面起着关键作用,这些特征包括病变较大、水肿、神经血管受累以及周边或不均匀的动态强化,从而向临床医生表明需要进一步检查。组织病理学是腹壁肿瘤特征描述的参考标准。对于接受手术的患者,需要进行放射学评估,通过提供肿瘤扩展的全面解剖学指导来引导外科医生。我们展示了一份影像学检查中可能遇到的良性和恶性腹壁肿瘤的图谱综述,主要关注有助于缩小鉴别诊断范围的CT和MRI特征。