Department of Radiology, Princesa Hospital, Autónoma University, Madrid, Spain.
Department of Radiology, University Hospital La Princesa, Madrid, Spain; Health Research Institute Princesa, Autonomous University of Madrid, Madrid, Spain.
Curr Probl Diagn Radiol. 2023 May-Jun;52(3):197-211. doi: 10.1067/j.cpradiol.2023.01.005. Epub 2023 Jan 25.
Chondrogenic tumors are typically well recognized on radiographs, but differentiation between benign and malignant cartilaginous lesions can be difficult both for the radiologist and for the pathologist. Diagnosis is based on a combination of clinical, radiological and histological findings. While treatment of benign lesions does not require surgery, the only curative treatment for chondrosarcoma is resection. This article (1) emphasizes the update of the WHO classification and its diagnostic and clinical effects; (2) describes the imaging features of the various types of cartilaginous tumors, highlighting findings that can help differentiate benign from malignant lesions; (3) presents differential diagnoses; and (4) provides pathologic correlation. We attempt to offer valuable clues in the approach to this vast entity.
软骨源性肿瘤在影像学上通常具有特征性表现，但对于放射科医生和病理科医生来说，鉴别良性和恶性软骨性病变都具有一定难度。诊断基于临床、影像学和组织学检查的综合结果。虽然良性病变的治疗不需要手术，但软骨肉瘤的唯一治愈方法是切除。本文（1）强调了世界卫生组织分类的更新及其诊断和临床影响；（2）描述了各种类型软骨肿瘤的影像学特征，突出了有助于鉴别良性和恶性病变的发现；（3）提出了鉴别诊断；（4）提供了病理相关性。我们试图在处理这一广泛实体时提供有价值的线索。
