腹内型侵袭性纤维瘤病多排螺旋CT和MRI诊断价值

刘啸峰; 丁玉芹; 何德明; 周建军

doi:10.13898/j.cnki.issn.1000-2200.2015.02.035

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腹内型侵袭性纤维瘤病多排螺旋CT和MRI诊断价值

刘啸峰 , 丁玉芹 , 何德明 , 周建军

文章导航 > 蚌埠医学院学报 > 2015, 40 > 2: (238-241)

引用本文:

Citation:

腹内型侵袭性纤维瘤病多排螺旋CT和MRI诊断价值

1. 安徽省池州市人民医院影像科, 247000;
2. 复旦大学附属上海中山医院放射科, 上海 200032;
3. 复旦大学附属上海中山医院病理科, 上海 200032

作者简介: 刘啸峰(1979-),男,硕士,主治医师.

通讯作者: 周建军, 副主任医师.zhou.jianjun@zs-hospital.sh.cn

中图分类号: R730.262

Diagnostic value of multi-detector row spiral CT and MRI in the intra-abdoninal type aggressive fibromatosis

1. Department of Medical Imageology, The People's Hospital of Chizhou, Chizhou Anhui 247000;
2. Department of Radiology, The Zhongshan Hospital Affiliated to Fudan University, Shanghai 200032;
3. Department of Pathology, The Zhongshan Hospital Affiliated to Fudan University, Shanghai 200032, China

Corresponding author: ZHOU Jian-jun, 副主任医师.zhou.jianjun@zs-hospital.sh.cn

CLC number: R730.262

摘要: 目的: 探讨腹内型侵袭性纤维瘤病(AF)多排螺旋CT(MDCT)和MRI表现特征和诊断价值。方法: 回顾性分析8例经手术病理证实的腹内型AF MDCT、MRI资料和临床资料。结果: 8例中7例单发,1例多发;肠系膜3例,腹腔2例,结肠脾曲1例,盆腔1例,腹膜后1例;5例呈类圆形,3例不规则形;局部边界均不清或欠清,与邻近血管、系膜及脏器粘连。平扫CT接近肌肉密度,均匀或不均匀,增强渐进性欠均匀轻中度强化,其内可见条片状无强化区;T1加权像信号同肌肉相仿,等或稍低信号,T2加权像及弥散加权成像不均匀稍高信号,增强渐进性不均匀中等或明显强化,强化程度较CT明显,病灶内见条片状T1加权像、T2加权像低信号不强化或轻度延迟强化区;MDCT后处理技术和MRI均能多角度观察邻近结构受压、侵犯情况及邻近血管改变。结论: MDCT和MRI能显示腹内型AF的主要病理改变,影像表现有一定特征,认识这些特征对AF的诊断具有重要价值。
- 纤维瘤病 /
- 腹腔 /
- 多排螺旋CT /
- 磁共振成像
Abstract: Objective: To investigate the multi-detector row spiral CT(MDCT) and MRI features of the intra-abdoninal type aggressive fibromatosis(AF) and its diagnostic value.Methods: The clinical data of 8 patients with intra-abdoninal type AF diagnosed by pathology and their MDCT and MRI imaging features were retrospectively analyzed.Results: The separate incident in 7 cases and multiple incident in 1 case were found.Three cases in mesentery,2 cases in abdominal cavity,1 case in splenic flexure of colon,1 case in pelvic cavity and 1 case in retroperitoneal space were determined.Five cases and 3 cases of AF were round and irregular,respectively.Local boundaries were unclear or less clear,adhere with the adjacent vessels,mesometrium and organ adhesions.The CT imaging showed that the tumor density was uniform or uneven,close to the muscle density and progressive enhancement.The flake unreinforced region was found.The T1 weighted image signals of lesions were similar,iso-intensity or slight with muscle,the T2 weighted image and diffusion weighted imaging signals of lesions were uneven and slight hyperintensity,progressing and heterogeneous moderate or obvious enhancement,which was more obvious than CT.The strip and sheet-shaped low intensity area in T1 weighted image and T2 weighted image signals without enhancement or mild delayed enhancement were found.The compressed and invasive adjacent structures and the vascular change could be observed by the post-processing of MDCT and MRI.Conclusions: MDCT and MRI can show the important pathological changes of intra-abdoninal type AF.The image findings has certain characteristics,which has important diagnostic value for AF.
- fibromatosis /
- abdominal cavity /
- multi-detector row spiral CT /
- magnetic resonance imaging

[1]	Rampone B,Pedrazzani C,Marrelli D,et al.Updates on abdominal desmoid tumors[J].World J Gastoenterol,2007,13(45):5985-5988.
[2]	王丹,陈仁彪,胡吉波,等.深部侵袭性纤维瘤病的CT 和MR 表现[J].临床放射学杂志,2010,29(12):1650-1660.
[3]	Micke O,Seegenschmiedt MH.Radiation therapy for aggressive fiberomatosis(desmoids tumors):results of a national patterns of care study[J].Int J Radiation Oncol Biol Phys,2005,61(3):882-891.
[4]	Amiot A,Dokmark S,Sauvanet A,et al.Sporadic desmoids tumor.An exceptional cause of cystic pancreatic lesion[J].J Pancreas(online),2008,9(3):339-345.
[5]	Kreuzberg B,Koudelova J,Ferda J,et al.Diagnostic problems of abdominal desmoid tumors in various locations[J].Eur J Radiol,2007,62(2):180-185.
[6]	Hatzimarkou A,Filippou D,Papadopoulos V,et al.Desmoid tumor in gardner's syndrome presented as acute abdomen[J].World J Surg Oncol,2006,4(2):18.
[7]	彭俊萍,张雪林,吕晓飞,等.韧带样纤维瘤的影像表现与病理对照[J].临床放射学杂志,2011,30(8):1166-1169.
[8]	陆紫薇,王中领,卢艳丽,等.韧带样型纤维瘤的影像学特征[J].临床放射学杂志,2012,31(11):1606-1609.
[9]	周利民,苏金亮,张文伟,等.韧带样型纤维瘤病的CT表现与病理对照[J].医学影像学杂志,2012,21(8):1255-1257.
[10]	葛湛,潘恒,谢长浓,等.软组织韧带样型纤维瘤病的临床病理与影像学表现[J].临床放射学杂志,2011,30(4):548- 551.
[11]	Lee JC,Thomas JM,Phillips S,et al.Aggressive fibromatosis:MRI features with pathologic correlation[J].AJR,2006,186(1):247-254.
[12]	刘庆余,陈建宇,梁碧玲,等.软组织韧带样型纤维瘤病的影像表现及其病理特征[J].癌症,2008,12(12):1287-1292.

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腹内型侵袭性纤维瘤病多排螺旋CT和MRI诊断价值

通讯作者: 周建军, 副主任医师.zhou.jianjun@zs-hospital.sh.cn

作者简介: 刘啸峰(1979-),男,硕士,主治医师.

1. 安徽省池州市人民医院影像科, 247000;
2. 复旦大学附属上海中山医院放射科, 上海 200032;
3. 复旦大学附属上海中山医院病理科, 上海 200032

收稿日期: 2014-03-03

关键词:

摘要: 目的: 探讨腹内型侵袭性纤维瘤病(AF)多排螺旋CT(MDCT)和MRI表现特征和诊断价值。方法: 回顾性分析8例经手术病理证实的腹内型AF MDCT、MRI资料和临床资料。结果: 8例中7例单发,1例多发;肠系膜3例,腹腔2例,结肠脾曲1例,盆腔1例,腹膜后1例;5例呈类圆形,3例不规则形;局部边界均不清或欠清,与邻近血管、系膜及脏器粘连。平扫CT接近肌肉密度,均匀或不均匀,增强渐进性欠均匀轻中度强化,其内可见条片状无强化区;T1加权像信号同肌肉相仿,等或稍低信号,T2加权像及弥散加权成像不均匀稍高信号,增强渐进性不均匀中等或明显强化,强化程度较CT明显,病灶内见条片状T1加权像、T2加权像低信号不强化或轻度延迟强化区;MDCT后处理技术和MRI均能多角度观察邻近结构受压、侵犯情况及邻近血管改变。结论: MDCT和MRI能显示腹内型AF的主要病理改变,影像表现有一定特征,认识这些特征对AF的诊断具有重要价值。

English Abstract

Diagnostic value of multi-detector row spiral CT and MRI in the intra-abdoninal type aggressive fibromatosis

Corresponding author: ZHOU Jian-jun, 副主任医师.zhou.jianjun@zs-hospital.sh.cn

1. Department of Medical Imageology, The People's Hospital of Chizhou, Chizhou Anhui 247000;
2. Department of Radiology, The Zhongshan Hospital Affiliated to Fudan University, Shanghai 200032;
3. Department of Pathology, The Zhongshan Hospital Affiliated to Fudan University, Shanghai 200032, China

Received Date: 2014-03-03

Abstract: Objective: To investigate the multi-detector row spiral CT(MDCT) and MRI features of the intra-abdoninal type aggressive fibromatosis(AF) and its diagnostic value.Methods: The clinical data of 8 patients with intra-abdoninal type AF diagnosed by pathology and their MDCT and MRI imaging features were retrospectively analyzed.Results: The separate incident in 7 cases and multiple incident in 1 case were found.Three cases in mesentery,2 cases in abdominal cavity,1 case in splenic flexure of colon,1 case in pelvic cavity and 1 case in retroperitoneal space were determined.Five cases and 3 cases of AF were round and irregular,respectively.Local boundaries were unclear or less clear,adhere with the adjacent vessels,mesometrium and organ adhesions.The CT imaging showed that the tumor density was uniform or uneven,close to the muscle density and progressive enhancement.The flake unreinforced region was found.The T1 weighted image signals of lesions were similar,iso-intensity or slight with muscle,the T2 weighted image and diffusion weighted imaging signals of lesions were uneven and slight hyperintensity,progressing and heterogeneous moderate or obvious enhancement,which was more obvious than CT.The strip and sheet-shaped low intensity area in T1 weighted image and T2 weighted image signals without enhancement or mild delayed enhancement were found.The compressed and invasive adjacent structures and the vascular change could be observed by the post-processing of MDCT and MRI.Conclusions: MDCT and MRI can show the important pathological changes of intra-abdoninal type AF.The image findings has certain characteristics,which has important diagnostic value for AF.