汪登斌,何国祥,江浩,吴达明,唐永华,周康荣.软组织神经源性肿瘤的MRI 诊断[J].中国医学影像技术,2000,16(6):0484~486
软组织神经源性肿瘤的MRI 诊断
MRI Evaluation of Neurogenic Tumor in Soft Tissue
投稿时间:1999-11-29  
DOI:
中文关键词:  神经源性肿瘤  软组织  MRI  诊断
英文关键词:Neurogenic tumor  Soft tissue  MRI  Diagnosis
基金项目:
作者单位
汪登斌 Department of Radiology , Ruijin Hospital af filiated to Shanghai Second Medical University , Shanghai 200025 , China 
何国祥 Department of Radiology , Ruijin Hospital af filiated to Shanghai Second Medical University , Shanghai 200025 , China 
江浩 Department of Radiology , Ruijin Hospital af filiated to Shanghai Second Medical University , Shanghai 200025 , China 
吴达明 Department of Radiology , Ruijin Hospital af filiated to Shanghai Second Medical University , Shanghai 200025 , China 
唐永华 Department of Radiology , Ruijin Hospital af filiated to Shanghai Second Medical University , Shanghai 200025 , China 
周康荣  
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中文摘要:
      目的探讨软组织神经源性肿瘤MRI 的诊断价值。方法分析26 例由病理证实的软组织神经源性肿 瘤MRI 表现,并与病理比较。结果神经鞘瘤11 例,神经纤维瘤7 例,节细胞神经瘤1 例,神经纤维瘤病1 例,恶性 神经鞘瘤4 例和神经纤维肉瘤2 例。26 例中21 例与神经血管束伴行(占80.8 %) ;3 例神经纤维瘤出现“靶征”;5 例 出现肿瘤邻近或远端肢体肌萎缩。结论综合分析肿瘤的部位、形态、信号及其邻近的神经血管束,有助于确立软 组织神经源性肿瘤的诊断,但MRI 对其良、恶性的鉴别有较大局限性。
英文摘要:
      Objective To investigate the diagnostic value of MRI in neurogenic tumor of soft tissue. Methods The MRI manifestations of twenty-six neurogenic tumors confirmed pathologically were analyzed in comparison with the patho- logic findings. Results The study population consisted of 11 schwannomas , 7 neurofibromas , 1 ganglioneuroma , 1neurofibromatosis ,4 malignant schwannomas and 2 neurofibrosarcomas. Of 26 cases ,twenty-ne tumors were accompanied closely with the adjacent neurovascular bundles (80. 8 %) ,and 3 neurofibromas showed ”target sign”. And the atrophy of muscles in the nearby or distal part of limb due to the tumor occurred in 5 cases. Conclusion Analyzing comprehensively the location , shape ,signal features and adjoining neurovascular bundles of the tumor is very conducive to establishing the di- agnosis of neurogenic tumor in soft tissue ,while the capability of MRI to distinguish the benignity and malignancy is much limited.
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