原发性跟骨骨肿瘤及肿瘤样病变的影像观察  

Imaging Diagnosis of Primary Tumors and Tumor-like Lesions of Calcaneus

作　　者：宋国勇[1] 王捷[1] 陆毅[1] 李石玲[2] 王冬梅[2] 

机构地区：[1]解放军第260医院放射科,河北石家庄050041 [2]河北医科大学第三医院CT/MRI室

出　　处：《实用放射学杂志》2011年第7期1058-1062,共5页Journal of Practical Radiology

摘　　要：目的 评价跟骨骨肿瘤及肿瘤样病变的影像学表现,鉴别病变的良恶性.方法 回顾性分析经穿刺和手术病理证实的22例跟骨病变的影像学表现,其中6例良性肿瘤,4恶性肿瘤,12例肿瘤样病变.22例中21例行X线检查,10例行CT检查,3例行MRI检查.结果 22例跟骨病变中,良性骨肿瘤包括4例成软骨细胞瘤、1例骨样骨瘤、1例骨巨细胞瘤;骨肿瘤样病变包括10例骨囊肿和2例动脉瘤样骨囊肿;恶性骨肿瘤包括2例骨肉瘤、1例软骨肉瘤和1例滑膜肉瘤.结论 X线平片、CT及MRI综合表现可做到对跟骨骨肿瘤及肿瘤样病变较为准确的定性分析,特别是良恶性鉴别.Objective To evaluate the imaging features and differentiating diagnosis of bone tumors and tumor-like lesions of calcaneus. Methods Imaging features of 22 cases with calcaneal diseases confirmed by operation and pathology were reviewed retrospec tively, including 6 cases of benign tumors and 12 cases of tumor-like lesions and 4 cases of malignant tumors. 21 cases underwent X ray, 10 cases underwent CT and 3 cases underwent MRI examinations. Results In 22 cases, benign bone tumors included 4 eases with chondroblastoma, 1 case with giant cell tumor of bone and 1 case with osteoid osteoma. Tumor-like diseases included 10 cases of bone cyst and 2 cases of aneurysmal bone cyst. Malignant bone tumors included 2 cases of osteosarcomas, 1 case of chondrosarcoraa and 1 case of synovial sarcoma. Conclusion To analyse synthetically X-ray, CT and MRI features can correctly diagnose most of calcaneal bone tumors and tumor-like lesions,especially to differentiate malignant lesions from benign lesions.

关 键 词：跟骨 骨肿瘤 肿瘤样病变 X线摄影 体层摄影术 X线计算机 

分 类 号：R738.1[医药卫生—肿瘤] R814.41[医药卫生—临床医学]