成软骨细胞瘤影像表现.docVIP

成软骨细胞瘤的影像表现 　　[摘要] 目的 探讨成软骨细胞瘤的影像学特征。 方法 选取贵州医科大学附属医院2010年1月～2015年12月经病理证实的15例成软骨细胞瘤患者资料，总结其影像学特征。 结果 15例中发生在长骨骨端的占13例，其中8例胫骨，4例股骨，1例肱骨，另1例位于髌骨，1例位于距骨。影像表现主要呈类圆形、边界清楚的膨胀性骨质破坏区（X线及CT呈低密度，MRI呈稍长T1、长短混杂T2信号），病灶内部可见钙化灶，边缘有硬化边。 结论 仔细分析成软骨细胞瘤的影像学特征，可提高该病的影像诊断水平并及时帮助临床诊断并了解复发、转移及恶变 [关键词] 成软骨细胞瘤；软骨类肿瘤；X线诊断；体层摄影术；磁共振成像 [中图分类号] R738.3 [文献标识码] A [文章编号] 1674-4721（2016）05（c）-0057-03 Imageology character of chondroblastoma LIU Jing1 ZHAN Wei2 JIAO Jun1 LIAO Xin1 1.Department of Image，the Hospital Affiliated to Guizhou Medical University，Guiyang 550004，China；2.Department of Pathophysiology，Guizhou University of Medical Sciences，Guiyang 550004，China [Abstract] Objective To explore the imageology character of chondroblastoma. Methods The data of 15 chondroblastoma patients，confirmed by pathology，from January 2010 to December 2015 of hospital affiliated to Guizhou university of medical sciences were selected.The imageology character was summarized. Results Among 15 cases，13 cases appeared in long bone epiphysis （8 cases were shinbone，4 cases were femur and 1 was humerus）；1 appeared in patella and 1 appeared intalus bone.The imageology character was mainly of quasi-circular，boundary clear dilatability bone destruction area （X-ray and CT in low density，MRI in a bit long T1 and length mixed T2 signal），visible lesions internal calcifications and hardening of the edge. Conclusion Careful analysis the imaging characteristics of chondroblastoma can enhance the imaging diagnostic level of this disease，help clinical diagnosis as soon as possible and understand the recurrence，transfer and malignancy. [Key words] Chondroblastoma；Cartilaginous tumors；Roentgenologic diagnosis；Tomography；Magnetic resonance imaging 成软骨细胞瘤（chondroblastoma，CB）又称软骨母细胞瘤，是一种少见的原发骨肿瘤，来源于成软骨细胞或成软骨结缔组织。根据最新的WHO（2013）骨肿瘤分类明细[WHO（2013）classification of bone tumors]，CB是属于软骨肿瘤中的中间型，偶见转移型[1]，至今该病仍缺乏大宗病例，偶有局部复发及远处转移恶变的报道。为提高本病的影像诊断水平及时帮助临床诊断并了解肿瘤复发[2]、转移[3]及恶变[4]，本文选取贵州医科大学附属医院经手术病理证实的15例成软骨细胞瘤患者的X线片、CT及MR