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[1]栗二毛,張國慶,張斌青,等.腹外型韌帶樣纖維瘤的MRI表現(xiàn)特征[J].中醫(yī)正骨,2022,34(03):45-48.
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腹外型韌帶樣纖維瘤的MRI表現(xiàn)特征()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期數(shù):
2022年03期
頁碼:
45-48
欄目:
影像診斷
出版日期:
2022-03-20

文章信息/Info

作者:
栗二毛張國慶張斌青楊靜
(河南省洛陽正骨醫(yī)院/河南省骨科醫(yī)院,河南 洛陽 471002)
關(guān)鍵詞:
纖維瘤 磁共振成像
摘要:
目的:探討腹外型韌帶樣纖維瘤的MRI表現(xiàn)特征。方法:回顧性分析26例經(jīng)病理證實的腹外型韌帶樣纖維瘤患者的MRI影像資料,總結(jié)腹外型韌帶樣纖維瘤的病變部位及MRI表現(xiàn)特征。男10例,女16例。年齡5~48歲,中位數(shù)23歲。18例以疼痛性腫塊就診,8例以無痛性腫塊就診。首診21例,腫瘤切除術(shù)后復(fù)發(fā)5例,復(fù)發(fā)間隔時間為6個月至3年。病程5個月至6年,中位數(shù)36個月。采用常規(guī)T1加權(quán)像(T1 weighted image,T1WI)、T2加權(quán)像(T2 weighted image,T2WI)及短時反轉(zhuǎn)恢復(fù)(short time inversion recovery,STIR)序列行冠狀面、矢狀面及橫斷面掃描,采用自旋回波(spin echo,SE)序列T1WI行冠狀面、矢狀面及橫斷面增強(qiáng)掃描。結(jié)果:本組26例,腹外型韌帶樣纖維瘤位于臀部6例、前臂5例、胸壁4例、小腿4例、大腿3例、肘關(guān)節(jié)1例、腕關(guān)節(jié)1例、腘窩1例、足部1例; 其中5例為腫瘤切除術(shù)后復(fù)發(fā),位于臀部2例、胸壁1例、前臂1例、小腿1例。腫瘤最大徑3.0~12.1 cm,中位數(shù)6.7 cm,其中16例腫瘤最大徑>5 cm。腫瘤沿筋膜或肌肉肌纖維方向生長,呈不規(guī)則爪形浸潤生長。25例腫瘤與周圍筋膜、肌肉界限不清,其中6例部分界限不清; 1例界限清晰,位于腘窩,呈類圓形,周圍見假包膜。26例T1WI上腫瘤整體呈不均勻低信號或等信號,T2WI及STIR序列上腫瘤整體呈不均勻稍高或高信號; 23例T1WI、T2WI及STIR序列上腫瘤內(nèi)部均可見條帶狀低信號影; SE序列T1WI增強(qiáng)掃描,腫瘤內(nèi)部條帶狀低信號影均無明顯強(qiáng)化,其余區(qū)域不均勻輕中度強(qiáng)化。腫瘤內(nèi)部均未見明顯壞死囊變; 4例腫瘤周圍見水腫信號影。結(jié)論:腹外型韌帶樣纖維瘤的MRI表現(xiàn)特征包括腫瘤沿筋膜或肌肉肌纖維方向浸潤性生長,多數(shù)界限不清; T1WI上腫瘤整體呈不均勻低信號或等信號,T2WI及STIR序列上腫瘤整體呈不均勻稍高或高信號; T1WI、T2WI及STIR序列上腫瘤內(nèi)部多數(shù)可見條帶狀低信號影; SE序列T1WI增強(qiáng)掃描,腫瘤內(nèi)部條帶狀低信號影無明顯強(qiáng)化,其余區(qū)域不均勻輕中度強(qiáng)化; 腫瘤內(nèi)部無明顯壞死囊變,部分周圍可見水腫信號影。

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(收稿日期:2021-10-13 本文編輯:呂寧)

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