摘要
目的:探讨软骨母细胞瘤的临床、X线、CT表现及病理特点。方法:男12例,女4例,年龄6~47岁。X线检查16例。CT检查8例。结果:胫骨近端4例, 股骨近端3例,股骨远端2例,肱骨近端2例,肱骨远端1例,髋臼、跟骨、距骨及肩胛骨各1例。膨胀性骨质破坏9例,囊样骨质破坏6例,浸润性生长1例。偏心生长12例,纵轴生长4例;跨骺板2例;11例病灶内有钙化,12例病灶周围(或部分)有硬化边,2例骨质破坏区局部磨玻璃样密度增高;短骨嵴6例。软组织样肿块5例;局部皮质消失6例;骨膜反应1例。累及关节2例。病灶大小2.0cm×3.5cm~7cm×8cm。结论:软骨母细胞瘤X线、CT征象和病理表现具有相对特征性和多样性特点,注意病理、临床、影像三结合。
Abstract
Objective: To study the clinical and X-ray, CT appearance and pathological speciality of chondroblastoma. Materials and Methods: X-ray examination was performed in 16 cases, CT scanning was performed in 8 cases. Twelve cases were males and 4 cases were females. The youngest one was 6 years old and the oldest one was 47 years old. Results: Four cases were in tibia, 5 cases in femur, 3 cases in humerus, each of the acetabulum, calcaneus, talus and scapula had 1 case. Cystic and expansive damage of bone(9 cases), cyst-like destruction(5 cases), invaded destruction(1 case). Eccentric-type(12 cases), Y-aixs type(4 cases), glass-like density(2 cases), short bone protuberance(6 cases); sand-like or spotty sclerosis(11 cases), partial disappearce of bony cortex(6 cases), osteosclerosis(12 cases), periosteal reaction(1 case); articalas involvement(2 cases), mass of soft tissue(5 cases). Diameter of bone lesion was 5~9cm. Conclusion: Chondroblastoma had its specificity, but imaging finding, and pathology had many varieties. It’s should be differentiated from other relative lesions. The final diagnosis depends on pathology.
关键词
软骨母细胞瘤 /
放射摄影术 /
体层摄影术 /
X线计算机
Key words
chondroblastoma /
radiography /
tomography /
X-ray computed
于洪存;董 杰;王中周;刘 群.
软骨母细胞瘤临床影像学表现与病理分析[J]. 中国临床医学影像杂志. 2006, 17(3): 164-166
YU Hong-cun;DONG Jie;WANG Zhong-zhou;LIU Qun.
Clinical imaging manifestation and pathological analysis of chondroblastoma[J]. Journal of China Clinic Medical Imaging. 2006, 17(3): 164-166
中图分类号：
R738.3
R814.41
R814.42
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