少见部位骨巨细胞瘤的影像学表现  

Imaging Findings of Giant Cell Tumor Occurring at Rare Locations

作　　者：王一民[1] 张在鹏[2] 程云桥 朱国民 朱占林[4] 王生钰[5] 朱利 薛敬全 陈坤 董海霞 张兴志 陈金勇 陈明源 常胜德[9] 刘瑞平[9] 陈团结 张顺利 吴恒森 杨继良 胡洪斌 蔺兴建 马正合 

机构地区：[1]中国人民解放军161中心医院放射科,武汉430010 [2]湖北医科大学附属第二医院CT室,武汉430071 [3]惠阳市第一人民医院放射科,516200 [4]吉林市中心医院放射科,132011 [5]吉林市中心医院手外科,132011 [6]新疆温宿县人民医院,84311 [7]山东益都中心医院放射科,262500 [8]福建泉州180医院放射科,362000 [9]河北省人民医院放射科,050051 [10]河南省沁阳市红十字会医院放射科,454550 [11]河南省沁阳市红十字会医院骨科,454550 [12]湖北省老河口市第一医院CT室,441800

出　　处：《临床放射学杂志》1999年第12期759-761,共3页Journal of Clinical Radiology

摘　　要：目的：提高对少见部位骨巨细胞瘤的正确诊断。材料与方法：搜集21例经手术病理证实的少见部位骨巨细胞瘤进行回顾性分析，男性9例，女性12例。年龄13～77岁。20例摄X线平片，10例行CT扫描。结果：21例中膨胀性囊性骨破坏12例，溶骨性骨破坏9例；偏心性生长3例，软组织肿块7例，小梁形成4例，侵犯邻近骨骼3例；多中心2例，肺和肋骨转移1例，术后复发1例。结论：对于少见部位巨细胞瘤的诊断，平片有重要价值，CT扫描优于平片。Objective: To improve the diagnostic accuracy of the giant cell tumor occurring at rare locations. Materials and Methods: Imagingfindings of 21 cases with Surgically and pathologically-proved giant cell tumor at rare locations (9 male and 12 female, age 13～77) were retrospec-tively analyzed. Plain films were Performed in 2O cases, CT scan in 10 cases. Results: Imaging findings were as follows: Expansive cystic destructivebone lesion (n = 12), osteolytic destruction (n = 9), eccentric bone lesion (n = 3), soft tissue mass (n = 7), trabeculation (n = 4), involvementof neighboring structures (n = 3), multicentric lesion (n = 2), meastases to lung and rib (n = 1 ) and local recurrence after surgery (n = l ). Con-clusion: For the diagnosis of giant cell tumor occurring at rare locations, plain film is of great value, though CT scan is more helpful than plain film.

关 键 词：骨肿瘤 巨细胞瘤 CT X线诊断 

分 类 号：R738.104[医药卫生—肿瘤] R730.44[医药卫生—临床医学]