文章摘要
李玉洁1,2 郑林丰1 王夕富1 张贵祥1.腱鞘巨细胞瘤的影像学诊断[J].,2012,12(1):69-72
腱鞘巨细胞瘤的影像学诊断
Imaging Diagnosis of Giant Cell Tumor of Tendon Sheath*
  
DOI:
中文关键词: 腱鞘巨细胞瘤  X 线平片  MRI  诊断
英文关键词: Giant cell tumor of tendon sheath  X ray plain film  Magnetic resonance imaging  Diagnosis
基金项目:教育部博士点基金(20090073110072)
作者单位
李玉洁1,2 郑林丰1 王夕富1 张贵祥1 上海交通大学附属第一人民医院放射科 
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中文摘要:
      目的:分析腱鞘巨细胞瘤的影像学表现以提高对该病的认识。方法:回顾性分析10 例经手术病理证实的腱鞘巨细胞瘤的X 线平片及MRI 表现,其中10 例行X 线平片检查,8 例行MRI 平扫及增强扫描。结果:X 线平片显示局部稍高密度软组织肿块影, 邻近骨质未见明显异常或轻度侵蚀破坏。MRI 表现为相应部位软组织肿块影,T1WI 多呈较低信号,内可见条片状更低信号影,增 强后强化明显;T2WI 呈高低混杂信号影;病灶与邻近肌腱关系密切,其中一例包绕指屈肌腱蔓状生长;局部骨皮质可受侵。结论: 腱鞘巨细胞瘤的影像学表现具有一定的特征性。
英文摘要:
      Objective: To study the imaging features of Giant cell tumor of tendon sheath (GCTTS). Methods: 10 cases with surgery and pathology proved GCTTS were retrospectively reviewed. Routine radiograph were carried out in all of the 10 patients, and 8 had plain and contrast-enhanced MR imaging. Results: X plain film findings were soft-tissue swelling without osseous involvement or slight bone erosions. At MR imaging, the lesions were heterogeneously iso-/hypo-intense on T1 weighted images, and heterogeneously hyper-/hypo-intense on T2 weighted images. The signal intensities tended to be moderately and heterogeneously enhanced following Gd-DTPA administration. The lesions were typically located in relation
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