摘要
目的:探讨MRI对侵袭性纤维瘤病术前评估的应用价值。方法:回顾分析11例侵袭性纤维瘤病的MRI表现及术中所见,并对4例大体病理标本进行组织大切片和特殊染色。结果:T1WI呈等信号5例,稍低信号6例,T2WI均呈稍高信号,内见星芒状、条索状低信号,增强后病灶明显强化。边界不清10例,边缘呈爪状生长;边缘清晰1例,可见假包膜。术中见7例与邻近血管粘连,4例累及邻近神经。结论:侵袭性纤维瘤病的MRI表现具有一定特征性,MRI可反映侵袭性纤维瘤病的组织学特点,并能显示肿瘤与邻近血管的关系,可作为诊断侵袭性纤维瘤病的首选方法。
Objective： To investigate the value of MRI in the assessment of aggressive fibromatosis before operation. Methods： MR appearance of 11 histologically proven aggressive fibromatosis were retrospectively analyzed and compared with manifestations in operation and pathology. Large tissue section and special staining were performed in 4 specimens. Results： Tumors showed isointensity in 5 cases and hypointensity in 6 eases on T1WI, and moderate hyperintensity in all cases on T2WI with low signal in some region . T1WI after intravenous contrast administration in all cases showed strong enhancemant, except for the areas of low signal on T2WI. Margins were ill defined in 10 cases, well defined in 1 case. During operation, tumors were seen to be adhered to vessles in 7 case and nerve in 4 cases. Conclusion：MRI can demonstrate the histiologie features of aggressive fibromatosis and involvement of vessles, and can be ehoosed as the primary method for diagnosis.
出处
《医学影像学杂志》
2008年第2期147-150,共4页
Journal of Medical Imaging
关键词
侵袭性纤维瘤病
磁共振成像
软组织肿瘤
Aggressive fibromatosis
Magnetic resonance,onance imaging
Soft tissue tumor
作者简介
杨献峰（1980-），男，山东省日照市人，医师，主要从事影像诊断工作
通讯作者：朱斌主任医师南京大学医学院附属鼓楼医院放射科
