DOI QR코드

DOI QR Code

T2강조영상에서 저신호강도를 보이는 연부 조직 종양: 병리소견과의 비교

Soft Tissue Masses Showing Low Signal Intensity on T2-weighted Images: Correlation with Pathologic Findings

  • 송유선 (부산대학교병원 영상의학과) ;
  • 이인숙 (부산대학교병원 영상의학과) ;
  • 최경운 (부산대학교병원 병리과) ;
  • 조길호 (영남대학교병원 영상의학과) ;
  • 이성문 (계명대학교 동산의료원 영상의학과) ;
  • 이영환 (대구카톨릭 대학교병원 영상의학과) ;
  • 김정일 (부산대학교병원 정형외과)
  • Song, You Seon (Department of Radiology, Pusan National University Hospital) ;
  • Lee, In Sook (Department of Radiology, Pusan National University Hospital) ;
  • Choi, Kyung Un (Department of Pathology, Pusan National University Hospital) ;
  • Cho, Kil Ho (Department of Radiology, Yeungnam University Hospital) ;
  • Lee, Sung Moon (Department of Radiology, Keimyung University School of Medicine, Dongsan Medical Center) ;
  • Lee, Young Hwan (Department of Radiology, Catholic Universiry of Daegu Hospital) ;
  • Kim, Jeung Il (Department of Orthopedic Surgery, Pusan National University Hospital)
  • 투고 : 2014.10.20
  • 심사 : 2014.12.24
  • 발행 : 2014.12.31

초록

목적: 본 연구는 T2 강조영상에서 저신호강도를 보이는 연부조직 종양의 특징적 자기공명영상 소견을 병리학적 소견과 연관지어 알아보고자 하였다. 결론: T2 강조영상에서 저신호강도를 보이는 드문 연부조직 종양의 종류에 대해 인지하고 동시에 특징적 위치, 모양, 다른 강조영상에서의 신호강도를 아는 것은 비특징적인 연부조직 종양의 감별진단에 도움이 되었다.

Objective: The aims of this article are to differentiate soft tissue masses showing low signal intensity on T2-weighted images (T2WIs) according to the histopathologic findings. Conclusion: To know relatively small numbered soft tissue masses with low signal intensities on T2WIs adding characteristic location, morphology, signal intensities on other sequences might be helpful for differential diagnosis of mostly non-specific soft tissue tumors on MRI.

키워드

참고문헌

  1. Sundaram M, McGuire MH, Schajowicz F. Soft-tissue masses: histologic basis for decreased signal (short T2) on T2-weighted MR images. AJR Am J Roentgenol 1987;148:1247-1250 https://doi.org/10.2214/ajr.148.6.1247
  2. Sundaram M, McLeod RA. MR imaging of tumor and tumorlike lesions of bone and soft tissue. AJR Am J Roentgenol 1990;155: 817-824 https://doi.org/10.2214/ajr.155.4.2119115
  3. Hur J, Damron TA, Vermont AI, Mathur SC. Fibroma of tendon sheath of the infrapatellar fat pad. Skeletal Radiol 1999;28:407-410 https://doi.org/10.1007/s002560050538
  4. Fox MG, Kransdorf MJ, Bancroft LW, Peterson JJ, Flemming DJ. MR imaging of fibroma of the tendon sheath. AJR Am J Roentgenol 2003;180: 1449-1453 https://doi.org/10.2214/ajr.180.5.1801449
  5. Wang XL, De Schepper AM, Vanhoenacker F, et al. Nodular fasciitis: correlation of MRI findings and histopathology. Skeletal Radiol 2002;31:155-161 https://doi.org/10.1007/s00256-001-0462-z
  6. Blacksin MF, Ha DH, Hameed M, Aisner S. Superficial softtissue masses of the extremities. Radiographics 2006;26:1289-1304 https://doi.org/10.1148/rg.265055729
  7. Miettinen M, Fetsch JF. Collagenous fibroma (desmoplastic fibroblastoma): a clinicopathologic analysis of 63 cases of a distinctive soft tissue lesion with stellate-shaped fibroblasts. Hum Pathol 1998;29:676-682 https://doi.org/10.1016/S0046-8177(98)90275-1
  8. Robbin MR, Murphey MD, Temple HT, Kransdorf MJ, Choi JJ. Imaging of musculoskeletal fibromatosis. Radiographics 2001; 21:585-600 https://doi.org/10.1148/radiographics.21.3.g01ma21585
  9. Dinauer PA, Brixey CJ, Moncur JT, Fanburg-Smith JC, Murphey MD. Pathologic and MR imaging features of benign fibrous soft-tissue tumors in adults. Radiographics 2007;27:173-187 https://doi.org/10.1148/rg.271065065
  10. Murphey MD, Gross TM, Rosenthal HG. From the archives of the AFIP. Musculoskeletal malignant fibrous histiocytoma: radiologic-pathologic correlation. Radiographics 1994;14:807- 826; quiz 827-808 https://doi.org/10.1148/radiographics.14.4.7938770
  11. Mahajan H, Kim EE, Wallace S, Abello R, Benjamin R, Evans HL. Magnetic resonance imaging of malignant fibrous histiocytoma. Magn Reson Imaging 1989;7:283-288 https://doi.org/10.1016/0730-725X(89)90551-1
  12. Kransdorf MJ, Meis JM, Montgomery E. Elastofibroma: MR and CT appearance with radiologic-pathologic correlation. AJR Am J Roentgenol 1992;159:575-579 https://doi.org/10.2214/ajr.159.3.1503030
  13. Murphey MD, Smith WS, Smith SE, Kransdorf MJ, Temple MT. From the archives of the AFIP. Imaging of musculoskeletal neurogenic tumors: radiologic-pathologic correlation. Radiographics 1999;19:1253-1280 https://doi.org/10.1148/radiographics.19.5.g99se101253
  14. Llauger J, Palmer J, Monill JM, Franquet T, Bague S, Roson N. MR imaging of benign soft-tissue masses of the foot and ankle. Radiographics 1998;18:1481-1498 https://doi.org/10.1148/radiographics.18.6.9821196
  15. Hassell DS, Bancroft LW, Kransdorf MJ, et al. Imaging appearance of diffuse neurofibroma. AJR Am J Roentgenol 2008;190: 582-588 https://doi.org/10.2214/AJR.07.2589
  16. Llauger J, Palmer J, Roson N, Cremades R, Baque S. Pigmented villonodular synovitis and giant cell tumors of the tendon sheath: radiologic and pathologic features. AJR Am J Roentgenol 1999;172:1087-1091 https://doi.org/10.2214/ajr.172.4.10587152
  17. Sheldon PJ, Forrester DM, Learch TJ. Imaging of intraarticular masses. Radiographics 2005;25:105-119 https://doi.org/10.1148/rg.251045050
  18. Murphey MD, Vidal JA, Fanburg-Smith JC, Gajewski DA. Imaging of synovial chondromatosis with radiologic-pathologic correlation. Radiographics 2007;27:1465-1488 https://doi.org/10.1148/rg.275075116
  19. Kransdorf MJ, Meis JM, Jelinek JS. Myositis ossificans: MR appearance with radiologic-pathologic correlation. AJR Am J Roentgenol 1991;157:1243-1248 https://doi.org/10.2214/ajr.157.6.1950874
  20. Parikh J, Hyare H, Saifuddin A. The imaging features of posttraumatic myositis ossificans, with emphasis on MRI. Clin Radiol 2002;57:1058-1066 https://doi.org/10.1053/crad.2002.1120
  21. De Beuckeleer LH, De Schepper AM, Neetens I. Magnetic resonance imaging of pilomatricoma. Eur Radiol 1996;6:72-75 https://doi.org/10.1007/BF00619959
  22. Lee SH, Suh JS, Lim BI, Yang WI, Shin KH. Intravascular papillary endothelial hyperplasia of the extremities: MR imaging findings with pathologic correlation. Eur Radiol 2004;14:822-826 https://doi.org/10.1007/s00330-003-2190-3
  23. Clifford PD, Temple HT, Jorda M, Marecos E. Intravascular papillary endothelial hyperplasia (Masson's tumor) presenting as a triceps mass. Skeletal Radiol 2004;33:421-425
  24. Murphey MD, Fairbairn KJ, Parman LM, Baxter KG, Parsa MB, Smith WS. From the archives of the AFIP. Musculoskeletal angiomatous lesions: radiologic-pathologic correlation. Radiographics 1995;15:893-917 https://doi.org/10.1148/radiographics.15.4.7569134
  25. Vilanova JC, Barcelo J, Smirniotopoulos JG, et al. Hemangioma from head to toe: MR imaging with pathologic correlation. Radiographics 2004;24:367-385 https://doi.org/10.1148/rg.242035079
  26. Jones BC, Sundaram M, Kransdorf MJ. Synovial sarcoma: MR imaging findings in 34 patients. AJR Am J Roentgenol 1993; 161:827-830 https://doi.org/10.2214/ajr.161.4.8396848
  27. Nakanishi K, Araki N, Yoshikawa H, Hashimoto T, Nakamura H. Alveolar soft part sarcoma. Eur Radiol 1998;8:813-816 https://doi.org/10.1007/s003300050477
  28. Hong SH, Chung HW, Choi JY, Koh YH, Choi JA, Kang HS. MRI findings of subcutaneous epidermal cysts: emphasis on the presence of rupture. AJR Am J Roentgenol 2006;186:961-966 https://doi.org/10.2214/AJR.05.0044
  29. Ruzek KA, Wenger DE. The multiple faces of lymphoma of the musculoskeletal system. Skeletal Radiol 2004;33:1-8 https://doi.org/10.1007/s00256-003-0709-y
  30. ter Braak BP, Guit GL, Bloem JL. Case 111: Soft-tissue lymphoma. Radiology 2007;243:293-296 https://doi.org/10.1148/radiol.2431040397
  31. Boukobza M, Mazel C, Touboul E. Primary vertebral and spinal epidural non-Hodgkin's lymphoma with spinal cord compression. Neuroradiology 1996;38:333-337 https://doi.org/10.1007/BF00596582

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