医学影像学： 第九章 骨 第三节 软组织 .pptVIP

医学影像学 第一篇 影像诊断学 第九章 骨关节与软组织 第三节 软组织 Atypical Lipomatous Tumors/Well-differentiated Liposarcomas Figure 1: Coronal T1-weighted fat-saturated (A) and axial T1-weighted (B) MRI of the thigh of a 79-year-old man with a popliteal fossa mass. Needle biopsy showed lipoma-like atypical lipomatous tumor/well-differentiated liposarcoma. Figure 2: Coronal T2-weighted fat-saturated (A) and axial T1-weighted (B) MRI of the thigh of a 56-year-old man with 6-month history of a painful posterior thigh mass. Needle biopsy showed lipoma-like atypical lipomatous tumor/well-differentiated liposarcoma. Figure 3: Axial CT of the thigh of a 70-year-old man with a posterior thigh mass and peroneal nerve palsy from pressure effect. Needle biopsy showed lipoma-like atypical lipomatous tumor/well-differentiated liposarcoma. Figure 4: Low-power (original magnification, 10×) (A) and high-power (original magnification, 20×) (B) photomicrographs showing scattered bizarre stromal cells with marked nuclear hyperchromasia (hematoxylin and eosin stain). 医学影像学 第一篇 影像诊断学 第九章 骨关节与软组织 第三节 软组织 医学影像学 第一篇 影像诊断学 第九章 骨关节与软组织 第三节 软组织 The Case: At a follow-up appointment for a shoulder arthroscopy, a 41-year-old man reported feeling pain in his right thigh for approximately 3 months. He described the sensation as a constant throbbing and burning pain, 3 out of 10 on a pain scale, with itching. Diagnosis: Dedifferentiated Liposarcoma Figure 1: Frontal (A) and lateral (B) radiographs of the right thigh show a large fat density mass (arrowheads) involving the vastus muscles. This mass contains an ovoid non-fatty soft tissue density (arrow), which corresponds to the dedifferentiated component of the tumor. Figure 2: Abrupt transition between lipomatous and dedifferentiated areas is typical for dedifferentiated liposarcoma. Axial proton density-weighted, non-fat-suppressed fast spin echo (A), coronal short T1 inversion recovery (B), and axial T2-weighted fat-suppressed fast spin echo (C) MRIs show the