简体中文

论著-头颈部

手指血管球瘤的MRI表现

作者:赵 颖 陈亚玲 李培岭 郭会利

所属单位:河南省洛阳正骨医院(河南省骨科 医院)影像中心 (河南 洛阳 471002)

PDF

摘要

目的 探讨手指血管球瘤的MRI表 现,以提高对本病的认识,减少误诊。 方法 回顾性分析经手术病理证实的11例 手指血管球瘤的临床及MRI资料,11例均 行MRI平扫,其中7例行MRI增强检查。结 果 11例中位于指甲下10例,1例位于指骨 背侧;肿瘤边界清晰,在T1WI上呈等信号 8例、稍低信号3例,在T2WI及PDWI上均呈 高信号,增强扫描呈均匀明显强化。结 论 手指血管球瘤多具有典型的部位及MRI 表现,MRI是诊断手指血管球瘤的首选方 法。

Objective To investigate the MRI appearances of glomus tumor in finger, to improve the understanding of this disease for the sake of misdiagnosis. Methods 11 cases of glomus tumor in finger proved by pathology were analysed retrospectively. All of the cages underwent MRI plain scan and 7 cases underwent MRI enhanced scan. Results 11 cases located at fingernail 10 cases, a case is located in the dorsal phalanges. The tumor borders were clear, MRI showed slightly lower intensities in three cases and isointensities in eight cases on T1 weighted images, and showed high intensities on T2 weighted images and PDWI. In the enhanced scans,all cases were apparent enhancement. Conclusion Finger glomus tumors are typical of the location and MRI appearances, MRI is the preferred method for diagnosing glomus tumors finger.

【关键词】血管球瘤;手指;磁共振成像

【中图分类号】R445.2;R732

【文献标识码】A

【DOI】 10.3969/j.issn.1672- 5131.2017.11.037

前言

血管球瘤是一种罕见的软组织小型肿瘤,约占手部肿瘤的7.6%, 好发于指端(96%),以甲下多见(65%)[1-2]。手术彻底切除肿瘤及其包膜 是公认的最佳治疗方法[3],如切除不彻底,术后易复发,因此术前准 确诊断及确定肿瘤范围,确保肿瘤及其包膜彻底切除,对减少血管球 瘤术后复发具有重要的意义。有关血管球瘤的MRI文献报道较少,本研 究回顾性分析11例经病理证实的手指血管球瘤MRI表现,以提高对本病 的认识。