外周性原始神经外胚层肿瘤的影像学表现.pdfVIP

中国医学影像技术2007年第23卷第 12期 Chin J Med Imaging Technol，2007，Vol 23，No 12 Im ging findings of periphera primitiveImaging findings ot peripheral primitive neuroectodermal tumors LIAO Xin，WU Yuan—kui，WANG Gang，HUANG Chan—tao。CHEN Wei—guo (Department of Radiology，Nan Fang Hospital，Southern Medical University， Guangzhou 510515，China) ~Abstract] 0bjective To study the imaging features of peripheral primitive neuroectodermal tumors(pPNETs)，and to be familiar with it．Methods The clinical and imaging information of 1 5 cases(6 cases in soft tissue and 9 cases in bone)with pathologically proved pPNETs were reviewed retrospectjvely．X—ray examination(7 cases)，CT (1 2 cases)and MRI(9 ca- ses)were performed in the cases．Results The radiography and CT examination of osteal pPNETs appeared extensive ill—de— fined osteolysis destruction of bone with inequality of size soft tissue tumors(size 2．5 cm×2．8 cm一10 cm×13 cm。average 6．2 cm×7．4 cm)．Uneven enhancement was shown in 6 cases．CT features of soft tissue pPNETs appeared uneven density masses with equal density parenchyma and necrosis。capsular regions．The tumor size was from 2．7 cm×4．8 cm to 1 2．4 cm ×14．5 cm，average 6．7 cm×8．2 cm．The tumor enhanced unevenly．MRI appeared equal signal(6 cases)。equal—low con— founding signal(1 case)，equal-high signal(2 cases)in T1WI．In MRI T2WI，the tumor shown equal—high signa1．Eight ca— ses appeared uneven enhancement．Conclusion The imaging manifestation of pPNETs is osteolysis destruction of bone and huge soft tissue mass with necrosis and capsular regions．CT and MRI can appear the internal structures and extent of the tumor，which benefit to diagnosis and differential diagnosis，predicting operative effect，detecting distant metastases and e— valuating therapeutic