Prando A, deSantos L A, Wallace S, Murray J A
Radiology. 1979 Feb;130(2):323-31. doi: 10.1148/130.2.323.
Angiography was performed on 48 patients with giant-cell bone tumors. Sixty-four per cent were hypervascular; 25% were hypo- or moderately vascular; and 10% were avascular. Findings were similar in the 45 benign and 3 malignant tumors. There was no correlation between the findings and degree of histological aggressiveness. There was a high (60%) incidence of aneurysmal bone cyst component in the hypovascular group. Hyperemic synovium, occasionally simulating tumor, was seen in 80% of surgically proved lesions. Angiography was useful in assessing tumor extent, particularly when an extraosseous component was present.
对48例骨巨细胞瘤患者进行了血管造影检查。64%为血管丰富型;25%为血管减少或中等血管型;10%为无血管型。45例良性肿瘤和3例恶性肿瘤的检查结果相似。检查结果与组织学侵袭程度之间无相关性。血管减少组中动脉瘤样骨囊肿成分的发生率较高(60%)。在80%经手术证实的病变中可见充血的滑膜,偶尔类似肿瘤。血管造影有助于评估肿瘤范围,尤其是当存在骨外成分时。