CT/MRI对盆腔孤立性纤维性肿瘤的诊断价值
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Pelvic Solitary Fibrous Tumor:CT and MR Imaging Diagnostic Value
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    摘要:

    目的 探讨CT、MRI对盆腔孤立性纤维性肿瘤(SFT)的诊断价值。方法 分析经手术病理证实的7例盆腔SFT的CT与MRI表现,并与组织病理学结果进行对照。结果 7例盆腔SFT均为单发,其中5例呈类圆形,1例呈椭圆形,1例呈不规则形,体积均较大,肿瘤大多为实性,均位于盆腔内腹膜外间隙、骶前区域;CT平扫表现7例瘤体密度均匀 /混杂,2例合并囊变、坏死,增强扫描均呈明显均匀或不均匀强化,呈地图样、持续性强化,并见肿瘤血管;MRI平扫表现为5例T1WI呈略低信号,T2WI呈以高信号为主的混杂信号,增强扫描明显不均匀强化,所有瘤体内均见肿瘤血管流空效应;7例盆腔SFT中5例良性,2例恶性,肿瘤表面及瘤内血管丰富,免疫组化CD34、CD99、CD117、Vimtin、Bcl2及Ki67阳性。结论 盆腔SFT的CT及MRI表现具有一定特征性,可对多数病例作出正确诊断。

    Abstract:

    Objective To investigate the value of CT、MR imaging in diagnosis of solitary fibrous tumors (SFT). Methods The CT and MRI findings of 7 cases of pelvic SFT confirmed by surgery and pathology were retrospectively analyzed,And compared with histopathological results. Results Among the 7 cases of pelvic SFT,all were single lesions,of which 5 cases were roundshaped,1 case was oval,and 1 case was irregular,all of which were large in size. Most of the tumors were solid,located in the pelvic extraperitoneal space and the presacral area;On CT plain scan,7 cases of tumors were uniform/mixed,and 2 cases were combined with cystic degeneration and necrosis. The enhanced CT scans showed obvious uniform or uneven enhancement,showing maplike and continuous enhancement,and tumor blood vessels were visible. On plain MRI scan,5 patients T1WI showed slightly low signal,T2WI showed a mixed signal dominated by high signal. The enhanced scan showed obvious uneven enhancement,and tumor blood vessel emptying effect was seen in all tumors;Among the 7 cases of pelvic SFT,5 cases were benign and 2 cases were malignant. The tumor surface and intratumoral blood vessels were abundant,and immunohistochemistry was positive for CD34,CD99,CD117,Vimtin,Bcl2 and Ki67. Conclusion The CT and MRI manifestations of pelvic SFT have certain characteristics,which can make correct diagnosis for most cases and reduce misdiagnosis.

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  • 在线发布日期: 2022-05-23
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