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。
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 Provine 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 T1 WI,T2 WI,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.
作者
车清林
CHE Qing-lin(Department of Radiology,First People＇s Hospital,Jingmen 448000,Hubei,Chin)
出处
《医学信息》
2018年第14期161-163,共3页
Journal of Medical Information
作者简介
车清林（1978．8-），男，湖北荆门人，本科，主治医师，研究方向：CT及MR诊断
