骨肌系统疾病_培训课件.pptx

Musculoskeletal ImagingBone lesions organized by cell of originAnatomy of the boneEpiphyseal plate（骨骺板）Epiphysis骨骺Metaphysis干骺端Diaphysis骨干Bony cortex骨皮质Medullary space骨髓腔Bone Lesions Organized by Cell of Origin(p367)TerminologyEnostosis (bone island): 内生骨疣Osteoma: 骨瘤Melorheostosis: 肢骨纹状肥大Osteoid osteoma: 骨样骨瘤Osteoblastoma: 成骨细胞瘤Osteosarcoma: 骨肉瘤Synovial chondromatosis/ osteochondromatosis: 滑膜骨软骨瘤Enchondroma: 内生软骨瘤Osteochondroma: 骨软骨瘤Chondroblastoma: 软骨母细胞瘤Chondromyxoid fibroma: 软骨黏液样纤维瘤Chondrosarcoma: 软骨肉瘤Bone Lesions Organized by Cell of Origin(p367)TerminologyNonssifying fibroma/ fibrous cortical defect: 纤维骨皮质缺损Malignant fibrous histiocytoma: 恶性纤维组织细胞瘤Fibrous dysplasia: 骨纤维异常增殖症Hemangioma: 血管瘤Angiosarcoma of bone: 血管肉瘤Giant cell tumor (osteoclastoma): 巨细胞瘤Eosinophilic granuloma (langehans cell histiocytosis): 嗜酸性肉芽肿Ewing sarcoma: 尤文氏肉瘤Multiple myeloma/ plasmacytoma: 浆细胞瘤Lymphoma: 淋巴瘤Lipoma: 脂肪瘤Liposarcoma: 脂肪肉瘤Bone Lesions Organized by Cell of Origin(p367)TerminologyChordoma: 脊索瘤Simple bone cyst: 单纯性骨囊肿Aneurysmal bone cyst: 动脉瘤样骨囊肿Adamantinoma: 釉质瘤Myositis ossificans: 骨化性肌炎Brown tumor: 棕色瘤Osteomyelitis: 骨髓炎Bone Lesions Organized by Cell of Origin(p367)ContentsBone Lesions Organized by Cell of OriginBone forming (Osteo-) lesionCartilage-forming (Chondro-) lesionLesions of fibrous originLesions of vascular originLesions of hematopoietic originFat (Lipo-) lesionsNotochordal lesionLesions of unknown cell originOsseous metastasis Benign tumor mimicsBone Lesions Organized by Cell of Origin(p367)1. Bone forming (Osteo-) lesionBenign and incidental: Enostosis (bone island)内生骨疣Osteoma骨瘤Melorheostosis肢骨纹状肥大 Osteoid osteoma骨样骨瘤 Osteoblastoma成骨细胞瘤Malignant: Osteosarcoma骨肉瘤Bone Lesions Organized by Cell of Origin(p367)1. Bone forming (Osteo-) lesion: Enostosis (bone island)Benign and incidental findingA small spiculated osteoblastic focus小针状成骨细胞聚集Differentiate from an osteoblastic metastasis, osteoid osteoma, or a low-grade osteosarcoma (if the lesson 2 cm)成骨性转移、骨样骨瘤或低级别骨肉瘤