表面骨肉瘤的影像学特征_方向前.pdf

·528 · 2001 7357 　Chin J Radiol, July 2001, Vol 35, No.7 ·· 方向前　范顺武　胡丰根　章士正　杨迪生 【】　　, 。　 18。8, 1, 54 。。　8 , 5 X , 6 , 2 ～3 mm ;7 CT 。 1 X 。5 X , CT 。4 X , CT ;2 。 　4 , 。 【】　;　, X ;　 ＊ The distinct roentgenographic features of surface osteosarcomas　FANGXiangqian , FAN Shunwu, HU ＊ Fenggen, et al.　 Department of Orthopaedics, TheAff iliatedSirRunRunShawHospital, The edical Centerof Zhejiang University, Hangzhou 310016, China 【Abstract】　Objective　To analysis the distinct roentgenographic features of four subtypes of osteosarcoma arising on the surface of bone.Methods　 retrospective review was performed on 18 patients of osteosarcoma arising on the surface of the bone confirmed by surgery and pathology.The patients were diagnosed as 8 cases of conventional parosteal osteosarcoma (c-POS), 1 case of dedifferentiated parosteal osteosarcoma (dd-POS), 5 periosteal osteosarcoma (PERI)and 4 high-grade surface osteosarcoma (HGS)according to the classification system developed at the Mayo Clinic.Results 　Periosteal new bone formation was noticeably absent in all 8 patients of c-POS.On plain roentgenogram, 5 of 8 c-POS presented as an uniformly dense mass.Six cases had a peculiar tendency to encircle the involved bone with a thin (2 ～ 3 mm)lucent zone between the tumor and the underlying cortex.The CT of 7 c-POS showed high density osteoid mass.There was largely radioopaque mass with frequent areas of radiolucency on conventional film and CT scan in 1 patient of dd-POS.The roentgenographic features of 5 PERIwere mixed radiolucent mass on the cortical.The sunburst appearance of radiating spicules of mineralized tumor osteoid at right angles to the cortical bone was seen with CT in all 5 cases of PERI.Four HGS appeared as inhomogeneous mass on roentgenogram.CT de