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树枝状脂肪瘤的诊断性影像学检查

Diagnostic imaging of lipoma arborescens.

作者信息

Martín S, Hernández L, Romero J, Lafuente J, Poza A I, Ruiz P, Jimeno M

机构信息

Servicio de Radiodiagnóstico, Hospital General Universitario Gregorio Marañón, Madrid, Spain.

出版信息

Skeletal Radiol. 1998 Jun;27(6):325-9. doi: 10.1007/s002560050390.

DOI:10.1007/s002560050390
PMID:9677649
Abstract

OBJECTIVE

The imaging characteristics of lipoma arborescens using plain radiographs, computed tomography (CT), and magnetic resonance imaging (MRI) are described.

DESIGN AND PATIENTS

Five patients with a diagnosis of lipoma arborescens are presented. Three had monoarticular involvement of the knee joint. In the remaining two patients both knees and both hips, respectively, were affected. All patients were examined using plain radiographs and MRI. CT was employed in two cases.

RESULTS AND CONCLUSIONS

A conclusive diagnosis with exclusion of other synovial pathologies having similar clinical and radiological behavior can be achieved on the basis of the MRI characteristics of lipoma arborescens. The aetiology of lipoma arborescens remains unknown, but its association with previous pathology of the affected joints in all our patients supports the theory of a non-neoplastic reactive process involving the synovial membrane.

摘要

目的

描述树枝状脂肪瘤在X线平片、计算机断层扫描(CT)及磁共振成像(MRI)上的影像学特征。

设计与患者

介绍了5例诊断为树枝状脂肪瘤的患者。3例为单关节膝关节受累。其余2例患者分别为双膝关节和双髋关节受累。所有患者均接受了X线平片和MRI检查。2例患者进行了CT检查。

结果与结论

根据树枝状脂肪瘤的MRI特征,在排除具有相似临床和放射学表现的其他滑膜病变后可做出明确诊断。树枝状脂肪瘤的病因尚不清楚,但在我们所有患者中其与受累关节既往病变相关,这支持了一种涉及滑膜的非肿瘤性反应过程的理论。

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Diagnostic imaging of lipoma arborescens.树枝状脂肪瘤的诊断性影像学检查
Skeletal Radiol. 1998 Jun;27(6):325-9. doi: 10.1007/s002560050390.
2
Lipoma arborescens affecting multiple joints.影响多个关节的树枝状脂肪瘤。
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[Lipoma arborescens occurring in both knees at different times: a case report].[不同时间双侧膝关节均发生的树枝状脂肪瘤:一例报告]
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MR imaging of lipoma arborescens and the associated lesions.树枝状脂肪瘤及其相关病变的磁共振成像
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Lipoma arborescens of the knee: a case report.膝关节树枝状脂肪瘤:一例报告
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Atypical, polyarticular lipoma arborescens in a child.一名儿童的非典型多关节性树枝状脂肪瘤。
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Femoral osteochondroma responsible for ischiofemoral impingement, bursitis, and secondary lipoma arborescens mimicking malignant transformation.股骨骨软骨瘤导致坐骨股骨撞击、滑囊炎及继发性树状脂肪瘤,后者酷似恶性转化。
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