Kersjes W, Jaeger U, Haeffner P, Harder T
Klinik für Radiologie, Universität, Mainz.
Aktuelle Radiol. 1994 Jan;4(1):27-32.
The results of CT examinations in 36 patients suffering from histologically confirmed malignant primary tumours of the soft tissues are presented (6 rhabdomyosarcomas, 4 leiomyosarcomas, 6 liposarcomas, 4 malignant schwannomas, 5 malignant fibrous histiocytomas, 4 malignant haemangiopericytomas, 3 angiosarcomas, 1 fibrosarcoma, 1 renal sarcoma, 2 malignant mesenchymal tumours without histologically clear classification). The CT image alone will not yield information on the type of tumour or on the tumour status. However, CT continues to rank in the diagnosis of tumours of the soft tissues and is even superior to MR especially in the identification of gas accumulations due to infection in a tumour of the soft tissues that is otherwise unclear. Comparing the literature conclude that MR is now the imaging method of choice in the diagnosis of soft tissue tumours.
本文展示了36例经组织学确诊为原发性软组织恶性肿瘤患者的CT检查结果(6例横纹肌肉瘤、4例平滑肌肉瘤、6例脂肪肉瘤、4例恶性神经鞘瘤、5例恶性纤维组织细胞瘤、4例恶性血管外皮细胞瘤、3例血管肉瘤、1例纤维肉瘤、1例肾肉瘤、2例组织学分类不明确的恶性间叶性肿瘤)。仅CT图像无法提供肿瘤类型或肿瘤状态的信息。然而,CT在软组织肿瘤诊断中仍占据重要地位,尤其在鉴别软组织肿瘤合并感染导致的气体积聚方面甚至优于磁共振成像(MR),而在其他方面不明确的软组织肿瘤中。对比文献可知,MR目前是软组织肿瘤诊断的首选成像方法。