血管外皮细胞瘤与孤立性纤维瘤的诊断和鉴别诊断.PDFVIP

维普资讯 ·57O · 壁=_旦匿 堑堡垫 生笙 鲞笫4魍 ChinJMedImagingTechnol，2008，Vol24，No4 ·．．腹部影像学 Hemangiopericytomaand solitaryfibroustumor： imagediagnosisanddifferentialdiagnosis ZHOUJian-jun“，ZHOUKang-rong ，ZENGMeng-su 。 WANGJian—hua ，JJYuan ，DINGJian—guo (1．DepartmentofRadiology，2．DepartmentofPathology，ZhongshanHospitnl。 FudanUniversity，Shanghai200032，China) [Abstract] 0bjeetive Toinvestigatetheimagefeaturesofhemangiopericytomaandsolitaryfibroustumorandtoevaluate theirdiagnosticvalue．M ethods Ninecaseswithhemangiopericytomaand8caseswith solitaryfibroustumorconfirmedby surgicalpathologyunderwentbothCT andMR plainscanandmulti—phasesdynamicenhancementscanbeforeoperation ． The imagingdatawerereviewedandanalysedretrospectivelyincomparisonwithsurgicalandpathologicalresults Results The ． hemangiopericytomaswerelocatedinintracranium ( 一3)，limbs (一4)，retroperitoneum (一 1)andinguen ( 一 1)。re— spectively，thediameterofwhichwas4．8-- 13．5cm withameandiameterof6．7cm．Thetumorpresentedslightlylow to isosignalintensityonSE T1·w‘eightedimagingandisotoslightlyhigh signalintensityonFSET2——weightedimagingwithdif— ferentdegreenecrosis，6casesofwhichunderwentdynamicMR enhancementscanning presented inhomogeneousdelayed contrasted=enhancementwhich wassimilartoenhancementvesse1．Thesolitaryfibroustumorswith well—defined margins werelocatedintheche