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时间:2020-03-18
《滑膜树枝状脂肪瘤影像学表现.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·1082·中国医学影像技术2015年第31卷第7期ChinJMedImagingTechnol,2015,Vol31,No7?骨骼肌肉影像学Imagingfeaturesoflipomaarborescens1,NIUJun-jie2,LIUJing-wei3*,HAODa-peng1,CHENHai-song1,LIUJi-hua1WANGFei-fei(1.DepartmentofRadiology,theAffiliatedHospitalofQingdaoUniversity,Qingdao
2、266003,China;2.DepartmentofRadiology,ZhengzhouOrthopedicHospital,Zhengzhou450000,China;3.DepartmentofOrthopedics,QiluHospital,ShandongUniversity,Jinan250012,China)[Abstract]ObjectiveToexploretheimagingandpathologyfeaturesoflipomaarborescens(LA).MethodsT
3、heima-gingandpathologyfeaturesof14patientswithLAconfirmedbysurgeryandpathologywereretrospectivelyanalyzed.AllpatientsunderwentMRI,ofwhich1underwentcontrastenhancedMRI,3underwentCTscanning,1underwentDRscan-ning.Resectionsurgerywasperformedinallpatients,a
4、ndspecimenacquiredwereHEstained.ResultsAllpatientsinconventionalMRIdemonstratedjointorbursaeffusion,9casesrevealedvillousorfrond-likelesionswithnarrowbase,5casesalsoshowedmound-likelesionwithwidebase,themainlesionattachedtothebursawalladjacenttothebonei
5、n12casesandadjacenttolateralwallin2cases,1caseonenhancedMRIshowedlinearsurfaceenhancement.InCT,2patientsofkneejointrevealedvillousorfrond-likelowdensityinsuprapatellarpouch,1patientofshoulderjointshowedvillous,frond-likeormound-likelowdensityinsubdeltoi
6、dbursawitherosionofadjacentbone.DRofthekneeshowedtheincreas-ingdensityofsuprapatellarpouch.Only2caseshadnocomplicationexceptforbursaeffusion.Microscopically,thelesionwascoveredbynormal(n=8)orslightlyhypertrophic(n=6)synovialcells,andthecentralzonehadlar
7、geamountofma-turefattissue,accompanyingwithdilatedcapillariesaswellaslymphocyteandplasmocyte.ConclusionLAhasspecificimagingandpathologicalfeatures,whichishelpfulforthediagnosisbeforesurgery.[Keywords]Synoviallipomatosis;Kneejoint;Shoulderjoint;Magneticr
8、esonanceimaging;Tomography,X-raycomputedDOI:10.13929/j.1003-3289.2015.07.033滑膜树枝状脂肪瘤影像学表现王飞飞1,牛军杰2,刘京伟3*,郝大鹏1,陈海松1,刘吉华1(1.青岛大学附属医院放射科,山东青岛266003;2.郑州市骨科医院放射科,河南郑州450000;3.山东大学齐鲁医院骨科,山东济南250012)[摘要]目的探讨滑膜树枝状脂肪瘤(LA)的影像及其病理特征。方法回顾性分
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