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病例报告:大腿血管外皮细胞瘤的磁共振成像表现

Case report: MR appearance of hemangiopericytoma of the thigh.

作者信息

Tanaka H, Araki Y, Fujii K, Kawano K, Okada A, Yamamoto H, Mitani T, Tsukaguchi I

机构信息

Department of Radiology, Osaka University Medical School, Japan.

出版信息

Radiat Med. 1996 Sep-Oct;14(5):275-8.

PMID:8988508
Abstract

We report a case of hemangiopericytoma in the thigh of a 42-year-old woman. CT examination depicted a peripherally enhanced, multicystic mass without calcification. On T1-weighted images of MRI, the mass showed slightly high signal intensity relative to muscle, with the exception of the lower pole, which showed high signal intensity. On T2*-weighted images, the mass showed high signal intensity and cystic appearance. The lower pole showed low signal intensity on T2*-weighted images and was thought to be intratumoral hemorrhage. Low signal intensity structures on both T1- and T2*-weighted images were observed within and around the mass. They were thought to be dilated vessels, although this was not confirmed at surgery. Hemangiopericytoma should be considered in the differential diagnosis of a tumor in the thigh when MR images show the mass with slightly high signal intensity on T1-weighted images, intratumoral hemorrhage, and flow voids within or adjacent to the tumor.

摘要

我们报告一例42岁女性大腿部血管外皮细胞瘤。CT检查显示为周边强化的多房性肿块,无钙化。在MRI的T1加权图像上,肿块相对于肌肉呈稍高信号强度,但下极呈高信号强度。在T2加权图像上,肿块呈高信号强度及囊性表现。下极在T2加权图像上呈低信号强度,考虑为瘤内出血。在肿块内及周围观察到T1加权和T2*加权图像上均呈低信号强度的结构。尽管手术中未得到证实,但考虑为扩张的血管。当MR图像显示大腿部肿瘤在T1加权图像上呈稍高信号强度、瘤内出血以及肿瘤内或肿瘤旁有流空信号时,鉴别诊断应考虑血管外皮细胞瘤。

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