MRI for differentiating high-grade from low-grade of limb long bone chondrosarcoma
10.3969/j.issn.1671-8348.2015.26.012
- VernacularTitle:MRI 对四肢长骨高低级别软骨肉瘤的鉴别价值
- Author:
Xiaojuan DENG
;
Weiguo ZHANG
;
Jingqin FANG
;
Qingya LUO
;
Jinhua CHEN
;
- Publication Type:Journal Article
- Keywords:
low-grade chondrosarcoma;
high-grade chondrosarcoma;
long bone;
MRI
- From:
Chongqing Medicine
2015;(26):3637-3640
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the imaging differentiation between high-grade and low-grade limb of long bone chon-drosarcoma.Methods The MRI imaging features in 23 cases of pathologically proven limb long bone chondrosarcomas were retro-spectively analyzed,including 13 cases of low-grade and 10 cases of high-grade.The MRI imaging features including endosteal scal-loping lesion,cortical thickening,cortical destruction,bone expansion,soft tissue mass,bone marrow edema,soft tissue edema,calci-fication,hemorrhage,tumour maximal radial line and enhancing features were performed the statistical analysis.Results 13 cases were the low-grade chondrosarcomas,including atypical cartilaginous tumour and grade 1 chondrosarcomas,10 cases were high-grade chondrosarcomas (8 cases of grade Ⅱ chondrosarcomas,1 case of gradeⅢ chondrosarcomas and 1 case of dedifferentiated chondrosarcomas).Cortical destruction,soft tissue mass and soft tissue oedema had statistical differences between the low-grade and high-grade.Bone marrow had statistically significant difference.Calcification +(SC<1/3ST)had statistical difference between the low-grade and the high-grade.Calcification ++(1/3 ST