Diagnosis and differential diagnosis for solitary fibrous tumor in the abdomen and pelvis by CT
10.11817/j.issn.1672-7347.2017.04.007
- VernacularTitle:腹盆部孤立性纤维瘤的CT诊断与鉴别诊断
- Author:
Huaping LIU
;
Wenzheng LI
;
Xiaoping YI
;
Yigang PEI
;
Hui LIU
;
Wei ZHAO
;
Wenguang LIU
;
Jiale HOU
;
Ghimire OBIN
- Keywords:
solitary fibrous tumor;
extragastrointestinal stromal tumors;
leiomyosarcoma;
schwannoma
- From:
Journal of Central South University(Medical Sciences)
2017;42(4):406-412
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the CT features for solitary fibrous tumor (SFT) in the abdomen and pelvis and to improve the diagnostic accuracy.Methods:Fourteen patients with SFT were collected in our hospital from January,2011 to December,2015.Characteristic of images were analyzed and compared for 10 SFT,which located outside the abdominal organs with extragastrointestinal stromal tumors (EGIST),leiomyosarcoma,and schwannoma.Results:Necrosis and cystic formation were frequently present in SFT in the abdomen and pelvis.CE-CT showed serpentine vessels along the periphery,while pattern of enhancement was maplike inhomogeneous progressive.Comparing with the EGIST or schwannoma,the difference of CT value in non-contrast and the arterial phase were statistically significant (P＜0.05).The numbers of peritumoral circuity vessel were significantly different between SFT and EGIST (~=18.27,P＜0.008) or between SFT and schwannoma (x2=19.25,P＜0.008).Comparing with the leiomyosarcoma or schwannoma,SFT located outside the abdominal organs.We found that tumor necrosis rate was significantly different between SFT and leiomyoscarcoma (x2=8.00,P＜0.008).Conclusion:SFT in the abdomen and pelvis show certain CT characteristics.The CT value in noncontrast and at the arterial phase,tumor necrosis rate,and serpentine vessels along the periphery were pivotal in differentiating SFT from leiomyosarcoma,EGIST and schwannoma.
