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腹部恶性纤维组织细胞瘤中钙化的CT特征

CT features of calcifications in abdominal malignant fibrous histiocytoma.

作者信息

Ko S F, Wan Y L, Lee T Y, Ng S H, Lin J W, Chen W J

机构信息

Department of Radiology, Chang Gung Memorial Hospital at Kaohsiung, Taiwan.

出版信息

Clin Imaging. 1998 Nov-Dec;22(6):408-13. doi: 10.1016/s0899-7071(98)00066-7.

Abstract

The purpose of this study was to describe the computed tomographic (CT) features of intralesional calcifications in abdominal malignant fibrous histiocytomas (MFH). Forty-three pathologically proven abdominal MFH with preoperative CT were retrospectively reviewed, of which seven tumors with intralesional calcifications were studied with pathohistologic correlation. All seven calcified abdominal MFH belonged to the storiform-pleomorphic subtype with peripherally located calcifications that appeared as either lumpy (three cases) or ringlike (four cases), which were due to the presence of variable amounts of osseous (six cases) and chondroid metaplasia (two cases). About 16% of abdominal MFH, especially the storiform-pleomorphic subtype, exhibited metaplastic calcifications which were characteristically located at the periphery of the tumor and appeared as either lumpy or ringlike on CT.

摘要

本研究的目的是描述腹部恶性纤维组织细胞瘤(MFH)瘤内钙化的计算机断层扫描(CT)特征。对43例经病理证实且术前行CT检查的腹部MFH进行回顾性分析,其中7例有瘤内钙化的肿瘤进行了病理组织学对照研究。所有7例钙化性腹部MFH均属于席纹状多形性亚型,钙化位于周边,表现为块状(3例)或环状(4例),这是由于存在不同程度的骨化生(6例)和软骨化生(2例)所致。约16%的腹部MFH,尤其是席纹状多形性亚型,表现为化生钙化,其特征性地位于肿瘤周边,在CT上表现为块状或环状。

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