Taconis W K, Mulder J D
Skeletal Radiol. 1984;11(4):237-45. doi: 10.1007/BF00351347.
The salient radiological features of 102 cases of fibrosarcoma and of so-called malignant fibrous histiocytoma (MFH) of the long bones are presented. All cases registered with the Netherlands Committee on Bone Tumours in the period 1953-1976, were originally classified as fibrosarcoma. In a recent review of the pathological material approximately half of these tumours were reinterpreted as malignant fibrous histiocytoma. As the two neoplasms demonstrate no difference in their clinical picture, radiological appearance, and survival statistics, we did not study both groups separately. Favourable radiographic signs which suggest a longer survival rate included: a geographic type of bone destruction, eccentric location, and cortical destruction involving no more than two quadrants of the bone circumference. Based on these findings a grading system is presented which differs from that proposed by Lodwick et al. [21].
本文介绍了102例长骨纤维肉瘤及所谓恶性纤维组织细胞瘤（MFH）的显著放射学特征。1953年至1976年期间向荷兰骨肿瘤委员会登记的所有病例，最初均分类为纤维肉瘤。在最近对病理材料的复查中，约半数此类肿瘤被重新诊断为恶性纤维组织细胞瘤。由于这两种肿瘤在临床表现、放射学表现及生存统计方面均无差异，故未分别对两组进行研究。提示生存率较高的有利影像学征象包括：地图样骨质破坏、偏心性位置以及皮质破坏不超过骨周径的两个象限。基于这些发现，提出了一种分级系统，该系统与Lodwick等人[21]提出的分级系统不同。
