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[磁共振成像中的软骨瘤性肿瘤:与定位和组织病理学相关的临床表现]

[Chondromatous tumors in MRT: clinical picture in relation to localization and histopathology].

作者信息

Stiglbauer R, Böhm G

机构信息

MR-Institut der medizinischen Fakultät, Universitätsklinik für Radiodiagnostik, Universität Wien.

出版信息

Rofo. 1993 Feb;158(2):147-53. doi: 10.1055/s-2008-1032620.

Abstract

19 patients with histologically verified cartilaginous tumours (chondromas, chondrosarcomas) were examined with magnetic resonance imaging (MRI) in order to assess differences regarding the MR appearance of these tumours which would provide information on the biological behaviour of these lesions. MR findings were then correlated with histopathology. With regard to the signal behaviour of cartilaginous tumours a good correlation with histopathology could be established insofar as the relatively hypocellular tumours composed of hyaline cartilage exhibited a high signal level on T2-weighted images. There were no significant differences regarding signal characteristics of cartilaginous tumours in various anatomical locations. However, lesions located in the pelvis and the long bones showed predominantly peripheral enhancement whereas tumours of the skull base and larynx exhibited diffuse enhancement patterns in the majority of cases. 10 tumours (6 benign, 4 malignant) exhibited a lobular appearance. No relevant information in respect of tumour grading could be obtained.

摘要

对19例经组织学证实的软骨肿瘤(软骨瘤、软骨肉瘤)患者进行了磁共振成像(MRI)检查,以评估这些肿瘤在MRI表现上的差异,从而为了解这些病变的生物学行为提供信息。然后将MRI结果与组织病理学进行对比。就软骨肿瘤的信号表现而言,只要由透明软骨组成的相对细胞较少的肿瘤在T2加权图像上表现为高信号,就可以与组织病理学建立良好的相关性。不同解剖部位的软骨肿瘤在信号特征方面没有显著差异。然而,位于骨盆和长骨的病变主要表现为周边强化,而颅底和喉部的肿瘤在大多数情况下表现为弥漫性强化模式。10个肿瘤(6个良性,4个恶性)呈现小叶状外观。未获得有关肿瘤分级的相关信息。

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