结节性囊性脂肪坏死:一种独特的罕见软组织质量
Minsoo Kim1, John M Gross2, Shivani Ahlawat1
1The Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Skeletal radiology
|August 12, 2023
概括
结节性囊性脂肪坏死 (NCFN) 是一种罕见的疾病,呈现为大型软组织质量. 这一案例突出了典型的MRI发现和最大的NCFN报告的成功手术管理.
科学领域:
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
- 手术瘤学手术瘤学
背景情况:
- 结节性囊性脂肪亡 (NCFN) 是一种罕见的软组织病变.
- 假设它是一种脂肪亡的变体,可能与创伤引起的血管功能不全有关.
- 区分NCFN和脂肪细胞瘤可能是具有挑战性的,因为图像特征重叠.
研究的目的:
- 报告迄今为止最大的NCFN病例.
- 详细介绍NCFN在多种模式中的特征性成像发现.
- 讨论NCFN的差异诊断和管理.
主要方法:
- 一个34岁的女性患有右下肢软组织质量的案例介绍.
- 诊断成像包括MRI,超声波和放射.
- 手术切除和随后的组织病理学检查.
- 术后后续成像. 手术后后续成像.
主要成果:
- 核磁共振扫描显示了结节性脂质信号焦点,内伤液和一个增强对比度的囊.
- 超声波显示在无声性囊结构内有移动性超声波焦点.
- 病理学证实无数的自由漂浮的脂肪结节在纤维化伪囊内.
- 手术切除是成功的,在随访MRI上没有复发的证据.
结论:
- NCFN是一种罕见的实体,具有独特的,尽管有时具有挑战性的成像特征.
- 多模式成像,特别是MRI,对于诊断至关重要.
- 完全的外科切除是有效的治疗方式.
- 这个案例代表了最大的NCFN报告,扩大了对其呈现的理解.
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