儿童股骨肿瘤及肿瘤样病变的影像诊断分析

发布时间：2018-03-29 15:50

本文选题：儿童　切入点：股骨　出处：《临床放射学杂志》2017年02期

【摘要】：目的探讨儿童股骨肿瘤及肿瘤样病变的影像学表现。方法搜集59例经穿刺或手术病理证实的股骨肿瘤及肿瘤样病变的X线平片、CT和MRI检查资料,分析病变类型、部位、发病特点和影像学表现。57例行X线平片检查,37例行CT检查,25例行MRI检查。结果骨样骨瘤13例,骨肉瘤12例,骨软骨瘤8例,嗜酸性肉芽肿6例,软骨母细胞瘤5例,单纯性骨囊肿、动脉瘤样骨囊肿、非骨化性纤维瘤、骨纤维异常增殖症、血管瘤各2例,骨内腱鞘囊肿、韧带样纤维瘤、内生性软骨瘤、淋巴母细胞淋巴瘤、纤维性骨皮质缺损各1例。良性骨肿瘤32例(占54.2%),肿瘤样病变14例(占23.7%),原发恶性骨肿瘤13例(占22.0%)。结论儿童股骨骨病种类繁多,良性肿瘤以骨样骨瘤为好发病种,肿瘤样病变、恶性肿瘤分别以嗜酸性肉芽肿、骨肉瘤好发,多种影像学方法的联合使用在诊断和鉴别诊断中具有重要作用,有利于临床选择治疗方式及评判预后。
[Abstract]:Objective to investigate the imaging findings of femoral tumors and tumor-like lesions in children. Methods the CT and MRI findings of 59 cases of femoral tumors and tumor-like lesions confirmed by puncture or pathology were collected, and the types and location of lesions were analyzed. X ray plain film was performed in 37 cases and MRI in 25 cases. Results there were 13 cases of osteoid osteoma, 12 cases of osteosarcoma, 8 cases of osteochondroma, 6 cases of eosinophilic granuloma and 5 cases of chondroblastoma. Simple bone cyst, aneurysm like bone cyst, nonossifying fibroma, fibrous dysplasia, hemangioma in 2 cases, intraosseous tendon sheath cyst, desmoid fibroma, endochondroma, lymphoblastoma, There were 32 cases of benign bone tumor (54.2%), 14 cases of tumor-like lesion (23.7%) and 13 cases of primary malignant bone tumor (22.0%). Conclusion there are many kinds of femoral osteopathy in children. Tumor-like lesions, malignant tumors with eosinophilic granuloma, osteosarcoma, the combined use of various imaging methods in the diagnosis and differential diagnosis plays an important role in clinical choice of treatment and evaluation of prognosis.
【作者单位】：广州中医药大学;广州中医药大学第一附属医院影像科;
【分类号】：R738.1;R730.44;R445.2

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