体表少见软组织良性肿块样病变的CT和MRI诊断
摘要
体表软组织良性肿块样病变的种类繁多,除脂肪瘤、血管瘤等极少数病变较常见且其临床、影像表现具有一定特点外,其余病变的发病率低且临床表现等方面无明显特征性,容易误诊,准确的术前诊断对患者的治疗和预后具有重要意义。影像学检查,尤其是CT和MRI临床应用广泛,以其较高的软组织分辨力,已成为此类疾病的主要影像学检查方法。为了更好地认识和正确诊断此类疾病,笔者搜集本院经手术病理证实的相关病例资料并结合文献进行归纳总结,旨在提高此类疾病的影像学诊断水平。
引文
[1]马焕,吕玲,张大福,等.体部表皮样囊肿的CT和MRI表现[J].实用放射学杂志,2014,(11):1861-1864.
[2]马焕,吕玲,张大福,等.体部不典型表皮样囊肿的MSCT与病理表现[J].临床放射学杂志,2016,35(1):123-126.
[3]吴文娟,张英泽.骨与软组织肿瘤[M].北京:人民卫生出版社,2009:1264-1272.
[4]Perdikakis E,Skiadas V.MRI characteristics of cysts and"cystlike"lesions in and around the knee:what the radiologist needs to know[J].Insights Imaging,2013,4(3):257-272.
[5]姜震,雷大鹏,刘大昱,等.颈根部占位性病变的诊断与治疗[J].山东大学耳鼻喉眼学报,2018,32(1):53-55.
[6]李景春,刘海生,高学强,等.皮脂腺囊肿继发感染Ⅰ期切除268例报道[J].中国普外基础与临床杂志,2017,24(8):1006-1007.
[7]荆彦平,张俊,高峥嵘,等.颅内皮样囊肿破裂的CT、MRI诊断[J].中国CT和MRI杂志,2017,15(1):14-16.
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[11]邓德权,夏春,陈军,等.毛母质瘤336例临床回顾性分析[J].实用皮肤病学杂志,2014,7(3):169-170,174.
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[14]何亚平,何愿真.透明细胞汗腺瘤28例临床病理诊断分析[J].临床和实验医学杂志,2009,8(11):113-113.
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[18]乐洪波,张慧红,吴先衡,等.肌内黏液瘤的CT和MRI表现[J].临床放射学杂志,2017,36(10):1478-1483.
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[20]许怀瑾.常见体表肿物的诊治第8讲皮下非肿瘤性肿块[J].中国临床医生杂志,2009,37(2):35-38.
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[22]Kransdorf MJ,Murphey MD.Imaging of soft-tissue musculoskeletal masses:fundamental concepts[J].Radiographics,2016,36(6):1931-1948.
[23]Hayeri MR,Ziai P,Shehata ML,et al.Soft-tissue Infections and their imaging mimics:from cellulitis to necrotizing fasciitis[J].Radiographics,2016,36(6):1888-1910.
[24]金腾,刘垚,李婷,等.MRI对软组织肿瘤的鉴别诊断价值[J].放射学实践,2015,(3):269-274.
[25]丁宁宁,孟岩,麻少辉,等.IVIM扩散加权成像对多发性肌炎和皮肌炎的诊断价值[J].放射学实践,2016,31(7):649-653.
[2]马焕,吕玲,张大福,等.体部不典型表皮样囊肿的MSCT与病理表现[J].临床放射学杂志,2016,35(1):123-126.
[3]吴文娟,张英泽.骨与软组织肿瘤[M].北京:人民卫生出版社,2009:1264-1272.
[4]Perdikakis E,Skiadas V.MRI characteristics of cysts and"cystlike"lesions in and around the knee:what the radiologist needs to know[J].Insights Imaging,2013,4(3):257-272.
[5]姜震,雷大鹏,刘大昱,等.颈根部占位性病变的诊断与治疗[J].山东大学耳鼻喉眼学报,2018,32(1):53-55.
[6]李景春,刘海生,高学强,等.皮脂腺囊肿继发感染Ⅰ期切除268例报道[J].中国普外基础与临床杂志,2017,24(8):1006-1007.
[7]荆彦平,张俊,高峥嵘,等.颅内皮样囊肿破裂的CT、MRI诊断[J].中国CT和MRI杂志,2017,15(1):14-16.
[8]Lim R,Jaramillo D,Poussaint TY,et al.Superficial neurofibroma:a lesion with unique MRI characteristics in patients with neurofibromatosis type 1[J].AJR,2005,184(3):962-968.
[9]Cai W,Kassarjian A,Bredella MA,et al.Tumor burden in patients with neurofibromatosis types 1and 2and schwannomatosis:determination on whole-body MR images[J].Radiology,2009,250(3):665-673.
[10]O'Connor N,Patel M,Umar T,et al.Head and neck pilomatricoma:an analysis of 201cases[J].Br J Oral Maxillofac Surg,2011,49(5):354-358.
[11]邓德权,夏春,陈军,等.毛母质瘤336例临床回顾性分析[J].实用皮肤病学杂志,2014,7(3):169-170,174.
[12]余长亮,顾戎娟,宋文,等.头颈部钙化上皮瘤的CT诊断价值[J].中华耳鼻咽喉头颈外科杂志,2015,50(7):594-596.
[13]章建琴.脂溢性角化病120例临床病理分析[J].中国麻风皮肤病杂志,2005,21(9):746.
[14]何亚平,何愿真.透明细胞汗腺瘤28例临床病理诊断分析[J].临床和实验医学杂志,2009,8(11):113-113.
[15]都成,刘水策,齐跃,等.富于细胞性血管纤维瘤临床病理特点[J].现代肿瘤医学,2015,23(19):2831-2835.
[16]Koo PJ,Goykhman I,Lembert L,et al.MRI features of cellular angiomyofibroma with pathologic correlation[J].J Magn Reson Imaging,2010,29(5):1195-1198.
[17]Maruyama M,Yoshizako T,Kitagaki H,et al.Magnetic resonance imaging features of angiomyofibroblastoma-like tumor of the scrotum with pathologic correlates[J].Clin Imaging,2012,36(5):632-635.
[18]乐洪波,张慧红,吴先衡,等.肌内黏液瘤的CT和MRI表现[J].临床放射学杂志,2017,36(10):1478-1483.
[19]Kim JH,Kim JY,Chun KA,et al.MR imaging manifestations of skin tumors[J].Eur Radiol,2008,18(11):2652-2661.
[20]许怀瑾.常见体表肿物的诊治第8讲皮下非肿瘤性肿块[J].中国临床医生杂志,2009,37(2):35-38.
[21]许怀瑾.常见体表肿物的诊治第4讲体表皮肤肿物[J].中国临床医生杂志,2008,36(9):28-30.
[22]Kransdorf MJ,Murphey MD.Imaging of soft-tissue musculoskeletal masses:fundamental concepts[J].Radiographics,2016,36(6):1931-1948.
[23]Hayeri MR,Ziai P,Shehata ML,et al.Soft-tissue Infections and their imaging mimics:from cellulitis to necrotizing fasciitis[J].Radiographics,2016,36(6):1888-1910.
[24]金腾,刘垚,李婷,等.MRI对软组织肿瘤的鉴别诊断价值[J].放射学实践,2015,(3):269-274.
[25]丁宁宁,孟岩,麻少辉,等.IVIM扩散加权成像对多发性肌炎和皮肌炎的诊断价值[J].放射学实践,2016,31(7):649-653.