成年人软组织血管瘤样病变:根据ISSVA分类的成像和病理分析陷
C Marcelin1,2, J Dubois3,4, V Kokta5
1Department of Adult Diagnostic and Interventional Radiology, Hôpital Pellegrin place Amélie-Raba-Léon, 33076, Bordeaux, France. clement.marcelin@gmail.com.
Insights into imaging
|June 9, 2024
概括
磁共振成像 (MRI) 和多普勒超声波 (DUS) 显示软组织血管瘤 (STVTs) 的非特异性特征. 以国际血管异常研究协会 (ISSVA) 分类为指导的组织学分析对于准确诊断和将瘤与形区分开来至关重要.
科学领域:
- 放射学 放射学是一门学科.
- 病理学 病理学 病理学
- 血管生物学 血管生物学
背景情况:
- 软组织血管瘤 (STVTs) 存在诊断挑战,因为血管形与血管形相重叠的成像特征.
- 准确的分类对于适当的患者管理和治疗规划至关重要.
研究的目的:
- 将磁共振成像 (MRI) 和多普勒超声波 (DUS) 的发现与STVTs的病理发现进行比较.
- 为了区分血管瘤和血管形,使用2018年国际血管异常研究学会 (ISSVA) 的分类.
主要方法:
- 对31名STVT患者进行回顾性分析,这些患者接受了对比度增强的MRI和病理分析.
- 基于ISSVA标准的现场推定诊断与现场外成像和组织学分析的比较.
主要成果:
- 在场外的病理分析证实54.8%的病例是良性血管瘤;25.8%的病例被重新归类为血管形.
- 在场外MRI和病理学之间的一致性相当 (k=0.3902),而在场外病理学对应性很差 (k=-0.0949).
- 球菌与血管形有关 (p=0.03).
结论:
- 良性血管瘤在MRI上表现出非特定的成像特征,可能与非典型血管形重叠.
- 建议进行组织学分析,以准确诊断成人STVTs.
- 在成像和病理分析方面,遵守ISSVA分类指南至关重要,以尽量减少观察者之间的差异.
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