[1]车清林.侵袭性纤维瘤病的影像分析及组织病理学分析[J].医学信息,2018,31(14):161-163.[doi:10.3969/j.issn.1006-1959.2018.14.050]
　CHE Qing-lin.Imaging and Histopathological Analysis of Aggressive Fibromatosis[J].Journal of Medical Information,2018,31(14):161-163.[doi:10.3969/j.issn.1006-1959.2018.14.050]
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侵袭性纤维瘤病的影像分析及组织病理学分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年14期
页码:
161-163
栏目:
诊疗技术
出版日期:
2018-07-15

文章信息/Info

Title:
Imaging and Histopathological Analysis of Aggressive Fibromatosis
文章编号:
1006-1959（2018）14-0161-03
作者:
车清林
湖北省荆门市第一人民医院放射科，湖北 荆门 448000
Author(s):
CHE Qing-lin
Department of Radiology,First People’s Hospital,Jingmen 448000,Hubei,China
关键词:
侵袭性纤维瘤病; CT及MR表现; 组织病理学
Keywords:
Key words：Aggressive fibromtosis; CT and MRI findings; Histopathological
分类号:
R738.6
DOI:
10.3969/j.issn.1006-1959.2018.14.050
文献标志码:
B
摘要:
目的 分析侵袭性纤维瘤病的影像特点，以及组织病理学特征。方法 回顾性分析2013年1月～2018年3月湖北省荆门市第一人民医院经术后病理证实的 15例AF患者的 CT 和 MRI表现，及MR与组织病理对照分析。结果 15 例患者全部行 CT 平扫，8例行CT增强；9例行 MRI平扫，6例行MRI增强。CT 平扫示13 例呈不均匀等、低密度，2 例呈较均匀稍低密度；12例边界不清，3例边界清楚；CT 增强8例均呈渐进性不均匀明显强化。MRI平扫提示T1WI、T2WI、压脂、DWI等序列肿瘤均为不均匀信号，夹杂不规则低信号，肿块边缘呈爪形浸润或边缘不清。MRI增强 6例均呈不均匀明显强化。结论 CT和MRI 都能从不同方面为AF的诊断提供信息，MRI能更好地显示肿瘤的形态、范围及边缘，且可推断肿瘤的大致成分，对AF的诊断更有帮助。
Abstract:
Abstract：Objective To analyze the imaging features and histopathological features of aggressive fibromatosis.Methods Retrospective analysis of CT and MRI findings of 15 patients with AF confirmed by postoperative pathology in the First People's Hospital of Jingmen City,Hubei Province from January 2013 to March 2018,and a comparative analysis of MRI and histopathology.Results All the 15 cases underwent CT plain scan,8 cases of CT enhancement,9 cases underwent MRI plain scan,6 cases showed MRI enhancement,CT plain scan showed that 13 cases were uneven and low density,2 cases were more uniform and slightly lower density; 12 cases were unclear,3 cases were clear;8 cases of CT enhancement showed progressive inhomogeneity.MRI scan showed that the tumors of T1WI,T2WI,liposuction,DWI and other tumors were all inhomogeneous signals,with irregular and low signal inclusions,and the edges of the tumors were claw-shaped infiltrated or the edges were unclear.MRI enhancement in 6 cases showed uneven enhancement.Conclusion Both CT and MRI can provide information for the diagnosis of AF from different aspects.MRI can better display the shape,range and edge of the tumor,and can infer the general components of the tumor,which is more helpful for the diagnosis of AF.

参考文献/References:

[1]张莎,宋英儒,黄仲奎.骨骼肌筋膜侵袭性纤维瘤病CT及MRI表现探讨[J].广西医科大学学报,2013;30(4):606-609. [2]王萍,颜志平,陈丙丁,等.软组织侵袭性纤维瘤病的影像表现及其病理对照分析[J].磁共振成像,2013,4(3):206-209. [3]van Broekhoven DL,Grünhagen DJ,den Bakker MA,et al.Time Trends in the Incidence and Treatment of Extra-Abdominal and Abdominal Aggressive Fibromatosis:A Population-Based Study[J].Annals of Surgical Oncology,2015,22(9):2817-2823. [4]胡亚彬,杨青,段峰,等.四肢侵袭性纤维瘤病的ＭＲＩ表现[J].齐鲁医学杂志,2011,26(1):13-16． [5]袁志平,宋永文,李晔雄.侵袭性纤维瘤病诊治进展[J].国际骨科学杂志,2017,14(1):236-239. [6]韩方海,周声宁.侵袭性纤维瘤病的诊治体会[J].中华胃肠外科杂志,2017,20(11).1253-1254. [7]高远翔,张黎芳.侵袭性纤维瘤病的CT和MR特点[J].中国医学影像学杂志,2012,20(11):828-831. [8]杨献峰,江波,朱斌,等.侵袭性纤维瘤病的MRI表现与病理对照[J].实用放射学杂志,2012, 28(1):85-87. [9]王军燕,孙延豹.侵袭性纤维瘤病的影像学表现[J].医学影像学杂志,2017(12):2315-2318.

更新日期/Last Update: 2018-07-15