隆突性皮肤纤维肉瘤的mri诊断价值研究.docVIP

隆突性皮肤纤维肉瘤的MRI诊断价值研究 徐敏涛，鲍国峰，谢起伟,郑红伟 郑州颐和医院影像科，河南省郑州市郑东新区农业东路69号，邮编450003 【摘要】 目的：分析隆突性皮肤纤维肉瘤的MRI表现。方法：回顾性分析12例经病理证实的隆突性皮肤纤维肉瘤，其中男性7例、女性5例，总结其影像特点。结果：12例病变位置均较表浅，3例与皮肤分界不清，9例与皮肤间分界清且8例与皮肤间距离小于3mm，1例大于5mm。病变大小在3.2cm-15.6cm之间，平均8cm，形态呈扁丘状、卵圆形、分叶状，3例可辨别呈多结节聚合状，1例见子结节外突。与肌肉相比，在T1WI上3例呈稍低信号、5例呈等信号、4例呈略高信号，在T2WI上11例呈高信号、1例为稍高信号。6例行增强检查病变中，5例明显强化，1例呈中度强化。结论：隆突性皮肤纤维肉瘤的MRI表现具有一定特征性，MRI检查可帮助其诊断。 【关键词】 隆突性皮肤纤维肉瘤；诊断；MRI Research for Diagnostic Significance of MRI in Dermatofibrosarcoma protuberans Mintao Xu, Guofeng Bao, Qiwei Xie, Hongwei Zheng Zhengzhou Yihe Hospital,Zhengzhou(450000),China Abstract Objective: To analyze the MRI features of dermatofibrosarcoma protuberans (DFSP), and to explore the diagnostic significance of MRI in DFSP. Methods: Analyze MRI images of 12 lesions (including 7 male and 5 female) confirmed as DFSP by pathology, and summarize medical imaging features. Results: All 12 lesions are superficial and very adjacent to skin. The demarcation between 9 lesions and skin is lipid, in which the distance between 8 lesions and skin is less than 3mm while 1 more than 5mm. The left 3 lesions have unclear margin with skin. The maximum diameters of 12 lesions vary within the range between 3.2cm and 15.6cm (average 8cm). The 12 lesions are in various patterns (flat dune-like, oval, lobulated). 3 lesions are multi-nodular, l lesion has outward sub-nodule. Compared to muscles, 3 lesions are slightly hypointense on T1WI, 5 lesions isointense, 4 lesions slightly hyperintense. 11 lesions are hyperintense on T2WI, while 1 lesion slightly hyperintense. In 6 enhanced lesions, 5 lesions are strongly enhanced while 1 lesion moderately enhanced. Conclusion: DFSP have characteristic features in MRI, and MRI examination can help the diagnosis. Key words：dermatofibrosarcoma protuberans; diagnosis; MRI 隆突性皮肤纤维肉瘤（DFSP）系低度恶性肿瘤，发病率低，占全身所有软组织肉瘤的1.0%-1.8%，在恶性肿瘤中比例约为0.1 %【1】。由于部位表浅或凸向皮肤外生长而较早发现并作出处理，故关于其影像学表现的报道较少。现回顾性分析经病理证实的8例DFSP 的临床病理及MRI资料，并结合相关文献复习，探讨其MRI表现特点，以提高其诊断准确性。 1、 材