CAJ | 학술논문

目的：探讨成人骨原发性良性纤维组织细胞瘤（BFH）的影像对比诊断。方法：回顾性对比分析11例成人骨BFH的影像资料。结果：发病部位以四肢长骨居多，单发病变10例，多发病变1例。X线表现大部分为溶骨性破坏，单房或多房状，边缘见硬化环，病灶轻度膨胀性生长。CT对病灶内的钙化、囊性变、皮质断裂及周围软组织肿物显示比X线片清楚，周围硬化边及硬化边的厚薄也较X线片显示佳。MRI清楚显示病灶内条索状低信号纤维灶，对病灶穿破骨皮质向外侵犯的软组织肿块及周缘反应性水肿亦较其他检查显示佳。结论：BFH的各种影像检查诊断价值各有所长，综合各种影像表现并结合临床，能进一步提高骨BFH的影像诊断水平。
목적：탐토성인골원발성량성섬유조직세포류（BFH）적영상대비진단。방법：회고성대비분석11례성인골BFH적영상자료。결과：발병부위이사지장골거다，단발병변10례，다발병변1례。X선표현대부분위용골성파배，단방혹다방상，변연견경화배，병조경도팽창성생장。CT대병조내적개화、낭성변、피질단렬급주위연조직종물현시비X선편청초，주위경화변급경화변적후박야교X선편현시가。MRI청초현시병조내조색상저신호섬유조，대병조천파골피질향외침범적연조직종괴급주연반응성수종역교기타검사현시가。결론：BFH적각충영상검사진단개치각유소장，종합각충영상표현병결합림상，능진일보제고골BFH적영상진단수평。
Objective: To explore imaging contrastive diagnosis of adult benign fibrous histiocytoma (BFH) of bone.Methods: Imaging ifndings in 11 patients with adult BFH of bone were analyzed contrastively and retrospectively.Results: Lesions mainly located in long bone of limbs, single lesions in 10 cases, 1 case with multiple lesions. X-ray plain iflm showed osteolytic destruction, unilocular or multiocular with clear border or sclerotic border, mild expansion. CT was better than X-ray plain iflm in displaying calciifcation, cyst change, pathologic fracture and soft tissue masses in the destruction portion, around the hardened edge and the thickness of a hardened edge also showed better. MRI clearly showed the funicular ifber on focal low signal within lesions, soft tissue mass and peripheral edema of reactivity could be seen clearly.Conclusion:Diagnostic value of all kinds of imaging examinations with BFH have their strong points, imaging manifestations in combination with clinic can further improve the level of imaging diagnosis of BFH.