CAJ | 학술논문

目的：回顾性分析15例长骨和扁骨骨内血管瘤影像学表现特点。方法患者进行X线、CT和MRI检查，评估疾病位置、大小、边缘、内部骨化或钙化和肿瘤向外扩张情况。结果 X线发现分叶状溶骨性破坏伴有硬化缘8例，增粗骨小梁4例，基质骨化1例，大块状钙化1例。MRI 显示髓内血管瘤呈软组织肿块样改变；CT显示分叶状溶骨性破坏，大部分增粗骨小梁，基质骨化和骨皮质改变。结论长骨和扁骨内血管瘤影像学表现具有一定的特征性，但不具有特异性，应该与软骨类和膨胀溶骨性破坏性肿瘤相鉴别，最终需要病理检查确诊。
목적：회고성분석15례장골화편골골내혈관류영상학표현특점。방법환자진행X선、CT화MRI검사，평고질병위치、대소、변연、내부골화혹개화화종류향외확장정황。결과 X선발현분협상용골성파배반유경화연8례，증조골소량4례，기질골화1례，대괴상개화1례。MRI 현시수내혈관류정연조직종괴양개변；CT현시분협상용골성파배，대부분증조골소량，기질골화화골피질개변。결론장골화편골내혈관류영상학표현구유일정적특정성，단불구유특이성，응해여연골류화팽창용골성파배성종류상감별，최종수요병리검사학진。
Objective To retrospectively study the imaging findings of 15 patients with hemangioma of Long bone and flat bones. Methods X-ray, magnetic resonance imaging (MRI), and computed tomography were performed. X-ray, MRI and CT studies were evaluated for lesion location, size, margin, internal matrix mineralization, and extra-osseous extension. Results Radiographs identified the lobular osteolytic intramedullary lesions with sclerotic margins (8 cases) and coarse linear trabeculation (4 cases), matrix ossification (1 case), a heavily calcified lesion (1 case). MRI also identified the soft tissue mass in the case of the subperiosteal hemangioma. The CT scan demonstrated the lobular osteolytic lesions, the prominent trabeculation and matrix mineralization and evaluated the cortex. Conclusion To reported series of imaging features of intraosseous hemangiomas of Long bone and flat bones of hemangioma. The lesion should be differentiated from other chondral or expansile lytic tumors. The final diagnosis can only be confirmed by histopathology.