软骨粘液样纤维瘤的影像诊断  

Imaging Diagnosis of Chondromyxoid Fibroma

作　　者：郭茂凤[1] 李立[1] 谢道海[1] 张文[1] 

机构地区：[1]苏州大学附属第一医院放射科,江苏苏州215006

出　　处：《苏州大学学报（医学版）》2003年第6期703-705,共3页Suzhou University Journal of Medical Science

摘　　要：目的　研究软骨粘液样纤维瘤的影像表现以提高诊断率。方法　回顾分析经手术病理证实的 9例软骨粘液样纤维瘤。结果　软骨粘液样纤维瘤有以下特点 :(1)好发于 3 0岁以下的青少年 ;(2 )病变好发于长骨的干骺端 (6/8) ;(3 )病灶呈圆形、椭圆形或不规则地图样 ,部分病例多房样 (3 /8) ;(4)病灶边缘可见硬化边 ,以近髓腔侧明显 ;(5)CT、MR有利于发现病灶内小钙化点及周围软组织块影。结论　诊断软骨粘液样纤维瘤要综合临床、影像学特征及病理资料得出结论。Objective To study the value of imaging diagnosis of chondromyxoid fibroma. Methods Eight cases verified by surgery and pathology were pespectively evaluated.Results The important characters were as follows:(1)the age of incidence was in the 2nd decade of lif e;(2)the lesion located at the metaphysics of the long tubular bone(6/8);(3)the shape of lesion was round or geographic bone destruction,some had compartment (3 /8);(4)the border of some cases had sclerotic rim(mainly the face close to morro w);(5)CT、MR were helpful in finding punctuate calcification and soft tissue mas s.Conclusion Our results suggest that pathological and imaging diagnosis combined with clinical diagnosis could be an ideal way to diagnose cho ndromyxoid fibroma in clinical practice.

关 键 词：软骨粘液样纤维瘤 影像诊断 病理 

分 类 号：R738.304[医药卫生—肿瘤]