摘要
目的探讨腹部及盆腔孤立性纤维瘤CT及MRI影像学表现与病理特征。方法选取30例腹盆部孤立性纤维瘤患者。对患者进行CT及MRI检查，并进行病理性特征对照研究。结果30例患者中，间叶组织肿瘤、恶性纤维组织细胞瘤及卵巢纤维瘤患者分别为12例、12例、6例。CT表现为：肿块境界清楚、轮廓光滑，由两种不同密度实质组成，增强扫描显著强化，动脉期瘤内见多条肿瘤血管影。MRI表现为：肿瘤内部均出现条纹状低信号影。肿瘤内部的点状液化坏死区，增强扫描后，患者没有出现强化。6例患者具有切除标本。4例具有较为完整的包膜，2例患者的包膜不完整。结论SFF的CT和MRI表现具有一定特征性，结合其病理特征分析有助于提高诊断水平。
Objective To investigate the imaging findings of CT and MRI in patients with abdominal and pelvic solitary fibrous tumor and its pathological features. Methods 30 patients with abdominal and pelvic solitary fibrous tumor were chosen. Patients with CT and MRI, and pathologic features control study were analyzed. Results In 30 patients, mesenchymal tumors, malignant fibrous histiocytoma and ovarian fibroma patients were 12 cases, 12 cases, 6 cases. CT showed that mass state clearly, smooth contours, the substance of the composition of two different densi- ties,increase significantly enhanced scan, saw a number of tumor blood vessels within the shadow arterial aneurysm. MRI showed that internal tumors were low signal stripes appear. Tumor necrosis internal punctate liquefaction zone, after enhanced scan, the patient did not appear to strengthen. 6 patients had resection specimens. 4 cases had a more complete capsule,two cases with incomplete capsule. Conclusion SFF has certain characteristics in CT and MRI imaging screening, combined with its pathological features analysis will help improve the diagnosis.
出处
《中国基层医药》
CAS
2015年第11期1725-1727,J0003,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
孤立性纤维瘤
纤维瘤病
腹部
体层摄影术
X线计算机
磁共振成像
Solitary Fibrous Tumors
Fibromatosis, Abdominal
Tomography, X - ray Computed
MagneticResonance Imaging
