顾翔,屈辉,程晓光,张清.毛细血管扩张性骨肉瘤的影像学分析[J].中国医学影像技术,2005,21(5):760~762
毛细血管扩张性骨肉瘤的影像学分析
Imaging features of telangiectatic osteosarcoma
投稿时间:2004-11-15  修订日期:2005-02-17
DOI:
中文关键词:  毛细血管扩张  骨肉瘤  体层摄影术,X线计算机  磁共振成像
英文关键词:Telangiectasis  Osteosarcoma  Tomography, X-ray computed  Magnetic resonance imaging
基金项目:
作者单位E-mail
顾翔 北京积水潭医院放射科,北京 100035 gux21@sohu.com 
屈辉 北京积水潭医院放射科,北京 100035  
程晓光 北京积水潭医院放射科,北京 100035  
张清 北京积水潭医院骨肿瘤科,北京 100035  
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中文摘要:
      目的 探讨研究毛细血管扩张性骨肉瘤的影像学特点与临床的关系。方法 分析16例毛细血管扩张性骨肉瘤的临床及影像学特点。其中16例中均摄X线片,13例做CT扫描检查,8例做MR检查。结果 16例肿瘤均发生长管状骨。其中位于胫骨近端的6例,肱骨近端6例,3例位于股骨远端,胫骨远端的1例。X线及CT、MR均可见溶骨性破坏及囊状膨胀性改变。肿瘤破坏区可见软组织肿块影及囊状液平。骨皮质变薄及筛孔样破坏。结论 毛细血管扩张性骨肉瘤的影像学表现及临床病理上有一定的特点。对疾病的诊断和治疗提供了依据。
英文摘要:
      Objective To investigate the imaging features and clinical characteristics of telangiectatic osteosarcoma. Methods The clinical data and imaging features of 16 patients with telangiectatic osteosarcoma were reviewed. All 16 patients had conventional X-ray, 13 patients underwent CT scanning and 8 had MR scanning. Results Six lesions were located at the proximal tibia, 6 at proximal humerus, 3 at distal femur, and 1 at distal tibia. The imaging features of X-ray, CT and MRI included osteoclastic and expensive bone destruction with multiple small cystic formation and fluid-fluid level in the destructive region and soft masses. The cortex of the bone became thinner with multiple sieve type destruction. Conclusion Telangiectatic osteosarcoma has certain characteristics in clinic, imaging and histology which are important in diagnosis and therapy of this disease.
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