中华普通外科杂志2024,Vol.39Issue(7) :554-557.DOI:10.3760/cma.j.cn113855-20231116-00330

少脂肪成分的原发性腹膜后脂肪肉瘤的CT特征

CT imaging features of fat-poor primary retroperitoneal liposarcoma

张璇 李雨洁 肖萌萌 罗成华 孙侠 郭勇
中华普通外科杂志2024,Vol.39Issue(7) :554-557.DOI:10.3760/cma.j.cn113855-20231116-00330

少脂肪成分的原发性腹膜后脂肪肉瘤的CT特征

CT imaging features of fat-poor primary retroperitoneal liposarcoma

张璇 1李雨洁 1肖萌萌 2罗成华 2孙侠 1郭勇1
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作者信息

  • 1. 北京大学国际医院放射科,北京 102206
  • 2. 北京大学国际医院腹膜后肿瘤外科,北京 102206
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摘要

目的 探讨CT未见脂肪成分的原发性腹膜后脂肪肉瘤(PRPLS)的CT特征.方法 回顾性分析128例经手术病理证实的PRPLS中43例CT未见脂肪成分病例的CT特征,评估内容包括肿块多结节状或多结节融合状、肿块的异质性.结果 43例CT未见脂肪成分的PRPLS中,多结节状或多结节融合状28例(65%),单发肿块15例(35%);CT平扫异质性17例,增强异质性18例,平扫异质性和增强异质性13例,平扫异质性或增强异质性22例(51%).结论 肿瘤的多结节状或多结节融合状,特别是异质性有可能为CT未见脂肪成分的PRPLS诊断提供帮助.

Abstract

Objective To investigate the CT imaging features of fat-poor primary retroperitoneal liposarcoma(PRPLS).Methods The CT signs of 43 fat-poor PRPLS cases among 128 PRPLS patients confirmed by pathology,including multiple nodules composing or multiple nodules fusing,tumor heterogeneity,were retrospectively evaluated.Results Of 43 fat-poor PRPLS cases,28 cases(65%)showed multiple nodules composing or multiple nodules fusing on CT images,15 cases(35%)demonstrated single mass.Seventeen cases showed tumor heterogeneity on pre-contrast scan,18 cases showed tumor heterogeneity on contrast scan,13 cases showed tumor heterogeneity on both pre-contrast and contrast scan,22 cases(51%)showed tumor heterogeneity on pre-contrast or contrast scan.Conclusion CT signs of multiple nodules composing or multiple nodules fusing,especially tumor heterogeneity may help establishing diagnosis of fat-poor PRPLS.

关键词

脂肪肉瘤/腹膜后肿瘤/体层摄影技术,X线计算机

Key words

Liposarcoma/Retroperitoneal neoplasms/Tomography,X-ray computed

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出版年

2024
中华普通外科杂志
中华医学会

中华普通外科杂志

CSTPCDCSCD北大核心
影响因子:1.11
ISSN:1007-631X
参考文献量18
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