中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2008年
1期
10-12
,共3页
髂骨%骨肿瘤%骨肿瘤样病变%影像学诊断
髂骨%骨腫瘤%骨腫瘤樣病變%影像學診斷
가골%골종류%골종류양병변%영상학진단
Llium%Tumor of bone%Tumor-like lesion%Imaging diagnosis
目的 探讨髂骨骨肿瘤及肿瘤样病变的影像学诊断及其诊断价值.方法 回顾性分析经临床随访及手术病理证实的78例髂骨病变的影像学资料,着重分析其影像学特征.结果 78例中骨转移瘤27例,骨巨细胞瘤10例,多发骨髓瘤9例,骨软骨瘤8例,软骨瘤6例,嗜酸性肉芽肿5例,骨肉瘤5例,软骨肉癌3例,骨纤维异常增殖症3例,非霍奇金淋巴瘤2例.所有病例均表现为髂骨不同形态的骨质破坏或骨质增生,47例伴有大小不一的软组织块影,13例盆腔组织受推移或侵犯.结论 X线仍是髂骨骨肿瘤及肿瘤样病变首选的检查方法,CT、MRI在确定肿瘤范围、软组织肿块及病变分期方面明显优于X线,根据髂骨骨质破坏形态及相伴软组织肿块的特点、发病年龄,可做出相对正确的诊断,但对影像学特征不典型的病变确诊仍然需要病理确诊.
目的 探討髂骨骨腫瘤及腫瘤樣病變的影像學診斷及其診斷價值.方法 迴顧性分析經臨床隨訪及手術病理證實的78例髂骨病變的影像學資料,著重分析其影像學特徵.結果 78例中骨轉移瘤27例,骨巨細胞瘤10例,多髮骨髓瘤9例,骨軟骨瘤8例,軟骨瘤6例,嗜痠性肉芽腫5例,骨肉瘤5例,軟骨肉癌3例,骨纖維異常增殖癥3例,非霍奇金淋巴瘤2例.所有病例均錶現為髂骨不同形態的骨質破壞或骨質增生,47例伴有大小不一的軟組織塊影,13例盆腔組織受推移或侵犯.結論 X線仍是髂骨骨腫瘤及腫瘤樣病變首選的檢查方法,CT、MRI在確定腫瘤範圍、軟組織腫塊及病變分期方麵明顯優于X線,根據髂骨骨質破壞形態及相伴軟組織腫塊的特點、髮病年齡,可做齣相對正確的診斷,但對影像學特徵不典型的病變確診仍然需要病理確診.
목적 탐토가골골종류급종류양병변적영상학진단급기진단개치.방법 회고성분석경림상수방급수술병리증실적78례가골병변적영상학자료,착중분석기영상학특정.결과 78례중골전이류27례,골거세포류10례,다발골수류9례,골연골류8례,연골류6례,기산성육아종5례,골육류5례,연골육암3례,골섬유이상증식증3례,비곽기금림파류2례.소유병례균표현위가골불동형태적골질파배혹골질증생,47례반유대소불일적연조직괴영,13례분강조직수추이혹침범.결론 X선잉시가골골종류급종류양병변수선적검사방법,CT、MRI재학정종류범위、연조직종괴급병변분기방면명현우우X선,근거가골골질파배형태급상반연조직종괴적특점、발병년령,가주출상대정학적진단,단대영상학특정불전형적병변학진잉연수요병리학진.
Objective To explore imaging diagnosis of tumor and tumor -like lesion in Ilium,and discuss it's evaluation. Methods We retrospectively reviewed the X -ray, CT and MRI findings of 78 cases with pathologically confirmed tumor and tumor-like lesions of Ilium, and studied the imaging features. Results Among 78 cases, there were 27 cases metastasis, 10 cases giant cell tumor of bone, 9 cases myeloma, 8 cases osteochondroma, 6 cases chondroma, 5 cases eosinophilic granuloma, 5 cases osteosarcoma, 3 cases chondrosarcoma, 3 cases fibrosarcoma, 2 cases lymphoma. All lesions were demonstrated different bone destruction or hypertrophy, 47 cases with soft tissues tumor, 13 lesions soft tissue were shifted in pelvis. Conclusion Routine radiography is the prior method for the diagnosis of tumor and tumor - like in Ilium. CT and MRI can demonstrate the extent of bone destruction and the changes of soft tissue more clearly than X-ray. It can be correctly diagnosed by feature of bone destruction and soft tissues tumor and clinical date,yet the definite diagnosis depends on biopsy to have no typical imaging feature lesion.
