摘要
目的:探讨软骨母细胞瘤的临床、X线、CT表现及病理特点。方法:男12例,女4例,年龄6～47岁。X线检查16例。CT检查8例。结果:胫骨近端4例,股骨近端3例,股骨远端2例,肱骨近端2例,肱骨远端1例,髋臼、跟骨、距骨及肩胛骨各1例。膨胀性骨质破坏9例,囊样骨质破坏6例,浸润性生长1例。偏心生长12例,纵轴生长4例;跨骺板2例;11例病灶内有钙化,12例病灶周围(或部分)有硬化边,2例骨质破坏区局部磨玻璃样密度增高;短骨嵴6例。软组织样肿块5例;局部皮质消失6例;骨膜反应1例。累及关节2例。病灶大小2.0cm×3.5cm～7cm×8cm。结论:软骨母细胞瘤X线、CT征象和病理表现具有相对特征性和多样性特点,注意病理、临床、影像三结合。
Objective： To study the clinical and X-ray, CT appearance and pathological speciality of chondroblastoma. Materials and Methods： X-ray examination was performed in 16 cases, CT scanning was performed in 8 cases. Twelve cases were males and 4 cases were females. The youngest one was 6 years old and the oldest one was 47 years old. Results： Four cases were in tibia, 5 cases in femur, 3 cases in humerus, each of the acetabulum, calcaneus, talus and scapula had 1 case. Cystic and expansive damage of bone（9 cases）, cyst-like destruction（5 cases）, invaded destruction（1 case）. Eccentric-type（12 cases）, Y-aixs type（4 cases）, glass-like density（2 cases）, short bone protuberance（6 cases）; sand-like or spotty sclerosis（11 cases）, partial disappearce of bony cortex（6 cases）, osteosclerosis（12 cases）, periosteal reaction（1 case）; ＇articalas involvement（2 cases）; mass of soft tissue（5 cases）. Diameter of bone lesion was 5-9cm. Conclusion： Chondroblastoma had its specificity, but imaging finding, and pathology had many varieties. It＇s should be differentiated from other relative lesions. The final diagnosis depends on pathology.
出处
《中国临床医学影像杂志》
CAS
北大核心
2006年第3期164-166,共3页
Journal of China Clinic Medical Imaging
