最新圖書(shū)

    軟組織腫瘤的影像診斷仍然是肌肉骨骼放射學(xué)中的一個(gè)挑戰，其困難歸因于軟組織腫瘤的多樣性及其影像表現的重疊性。隨著(zhù)影像學(xué)技術(shù)的不斷發(fā)展，軟組織腫瘤的成像取得了顯著(zhù)進(jìn)展，影像學(xué)目前在軟組織腫瘤的檢測、診斷和治療方案制訂中起著(zhù)關(guān)鍵作用。

    本書(shū)采用2013年世界衛生組織（WHO）制訂的軟組織腫瘤分類(lèi)對軟組織腫瘤進(jìn)行分類(lèi)討論，包括軟組織腫瘤的診斷方法、步驟等，以及各類(lèi)軟組織腫瘤的影像學(xué)表現、病變特征、診斷征象等。

    本書(shū)旨在讓讀者熟悉軟組織腫瘤的影像學(xué)表現和分析思路，提高對軟組織腫瘤的理解，運用分析技巧，在臨床實(shí)踐中做出精確診斷。

第一部分　軟組織腫瘤診斷總論
第1章　診斷方法...............................................002
1.1　臨床分析.................................................002
1.2　成像方法.................................................003
1.3　良性與惡性...............................................005
1.4　示例：診斷方法...........................................006

第2章　診斷步驟...............................................018
2.1　解剖間室.................................................018
2.2　影像引導下經(jīng)皮活檢.......................................019
2.3　示例：診斷步驟...........................................021

第3章　軟組織肉瘤分期.........................................027
3.1　原發(fā)腫瘤（T分期）........................................027
3.2　區域淋巴結（N-分期）.....................................028
3.3　遠處轉移（M分期）........................................029
3.4　組織學(xué)分級（G分級）......................................029
3.5　推薦的報告格式...........................................029
3.6　示例：軟組織肉瘤的分期...................................030

第二部分　軟組織腫瘤的WHO分類(lèi)及影像學(xué)表現
第4章　脂肪細胞腫瘤...........................................038
4.1　脂肪瘤...................................................038
4.2　脂肪瘤病.................................................039
4.3　神經(jīng)脂肪瘤病.............................................039
4.4　脂肪母細胞瘤/脂肪母細胞瘤病..............................040
4.5　血管脂肪瘤...............................................040
4.6　梭形細胞脂肪瘤...........................................040
4.7　冬眠瘤...................................................041
4.8　樹(shù)枝狀脂肪瘤.............................................041
4.9　非典型脂肪瘤樣腫瘤/高分化脂肪肉瘤........................041
4.10　去分化脂肪肉瘤..........................................042
4.11　黏液樣脂肪肉瘤..........................................042
4.12　多形性脂肪肉瘤..........................................043
4.13　示例：脂肪細胞腫瘤......................................044

第5章　纖維母細胞/肌纖維母細胞性腫瘤..........................063
5.1　結節性筋膜炎.............................................063
5.2　增生性筋膜炎.............................................064
5.3　增生性肌炎...............................................064
5.4　骨化性肌炎...............................................064
5.5　彈力纖維瘤...............................................065
5.6　嬰兒纖維錯構瘤...........................................065
5.7　頸部纖維瘤病.............................................066
5.8　腱鞘纖維瘤...............................................066
5.9　促結締組織增生性纖維母細胞瘤............................ 066
5.10　鈣化性腱膜纖維瘤........................................067
5.11　掌/跖纖維瘤病...........................................067
5.12　韌帶樣纖維瘤病..........................................068
5.13　隆突性皮膚纖維肉瘤......................................068
5.14　孤立性纖維性腫瘤........................................068
5.15　炎性肌纖維母細胞性腫瘤..................................069
5.16　黏液纖維肉瘤............................................069
5.17　低級別纖維黏液樣肉瘤....................................070
5.18　低級別肌纖維母細胞肉瘤..................................070
5.19　硬化性上皮樣纖維肉瘤....................................070
5.20　示例：纖維母細胞/肌纖維母細胞性腫瘤.....................071

第6章　所謂的纖維組織細胞性腫瘤...............................108
6.1　腱鞘滑膜巨細胞瘤.........................................108
6.2　深部良性纖維性組織細胞瘤.................................109
6.3　軟組織巨細胞瘤...........................................109
6.4　示例：所謂的纖維組織細胞性腫瘤...........................110

第7章　平滑肌腫瘤.............................................121
7.1　深部軟組織平滑肌瘤.......................................121
7.2　平滑肌肉瘤...............................................121
7.3　示例：平滑肌腫瘤.........................................122

第8章　周細胞（血管周細胞）腫瘤...............................131
8.1　血管球瘤.................................................131
8.2　肌周細胞瘤（包括肌纖維瘤）...............................132
8.3　血管平滑肌瘤.............................................132
8.4　示例：周細胞（血管周細胞）腫瘤...........................133

第9章　骨骼肌腫瘤.............................................148
9.1　橫紋肌肉瘤...............................................148
9.2　示例：骨骼肌腫瘤.........................................149

第10章　脈管腫瘤..............................................156
10.1　血管瘤..................................................156
10.2　血管瘤病................................................157
10.3　淋巴管瘤................................................157
10.4　卡波西樣血管內皮瘤......................................158
10.5　網(wǎng)狀血管內皮瘤..........................................158
10.6　Kaposi肉瘤..............................................158
10.7　上皮樣血管內皮瘤........................................159
10.8　軟組織血管肉瘤..........................................159
10.9　示例：脈管腫瘤..........................................160

第11章　軟骨-骨腫瘤...........................................184
11.1　軟組織軟骨瘤............................................184
11.2　骨外骨肉瘤..............................................184
11.3　示例：軟骨-骨腫瘤.......................................185

第12章　神經(jīng)鞘膜腫瘤...........................................192
12.1　施旺細胞瘤（包括不同亞型）...............................192
12.2　神經(jīng)纖維瘤（包括不同亞型）...............................193
12.3　神經(jīng)束膜瘤...............................................194
12.4　顆粒細胞瘤...............................................194
12.5　惡性周?chē)窠?jīng)鞘膜瘤.......................................195
12.6　示例：神經(jīng)鞘膜腫瘤.......................................196

第13章　分化不確定的腫瘤.......................................221
13.1　肌內黏液瘤...............................................221
13.2　滑膜肉瘤.................................................222
13.3　磷酸鹽尿性間葉性腫瘤.....................................222
13.4　上皮樣肉瘤...............................................223
13.5　腺泡狀軟組織肉瘤.........................................224
13.6　透明細胞肉瘤.............................................224
13.7　骨外黏液樣軟骨肉瘤.......................................225
13.8　骨外尤文肉瘤.............................................225
13.9　腎外惡性橫紋肌樣瘤.......................................226
13.10　肌上皮瘤/副脊索瘤.......................................226
13.11　多形性玻璃樣變血管擴張性腫瘤............................226
13.12　示例：分化不確定的腫瘤..................................227

第14章　未分化/未分類(lèi)肉瘤.......................................255
14.1　未分化多形性肉瘤..........................................255
14.2　未分化的圓形細胞和梭形細胞肉瘤............................256
14.3　示例：未分化/未分類(lèi)肉瘤...................................256

第15章　淺表軟組織腫塊..........................................264
15.1　表皮包涵體囊腫............................................264
15.2　毛母質(zhì)瘤..................................................264
15.3　脂肪壞死..................................................265
15.4　類(lèi)風(fēng)濕結節................................................266
15.5　Morel-Lavallee病變........................................266
15.6　惡性黑色素瘤..............................................267
15.7　淋巴瘤（皮膚及皮下）......................................267
15.8　軟組織轉移瘤..............................................269
15.9　示例：淺表軟組織腫塊......................................270

第16章　類(lèi)似軟組織腫瘤的腫塊....................................292
16.1　腱鞘囊腫..................................................292
16.2　血管病變..................................................292
16.3　痛風(fēng)......................................................293
16.4　結節病....................................................293
16.5　Morton神經(jīng)瘤..............................................294
16.6　創(chuàng )傷性神經(jīng)瘤..............................................295
16.7　黃色瘤....................................................295
16.8　示例：類(lèi)似軟組織腫瘤的腫塊................................296

第三部分　軟組織腫瘤實(shí)用診斷精粹
第17章　基于MR信號強度的病變特征................................316
17.1　T1WI高信號病變............................................318
17.2　T2WI低信號病變............................................322
17.3　T2WI液體樣高信號病變......................................333

第18章　診斷征象................................................339
18.1　葡萄碗征..................................................339
18.2　葡萄串征..................................................340
18.3　棋盤(pán)征....................................................341
18.4　同軸電纜征................................................342
18.5　暗星征....................................................343
18.6　束狀征....................................................344
18.7　倒靶征（Inverted target sign）............................345
18.8　腦回征....................................................346
18.9　反靶征（Reverse target sign）.............................347
18.10　反向分區現象.............................................348
18.11　意大利面征...............................................349
18.12　脂肪分離征.............................................. 350
18.13　串征.....................................................351
18.14　條紋征...................................................352
18.15　瑞士奶酪征...............................................352
18.16　尾征.....................................................354
18.17　靶征.....................................................355
18.18　三條紋征................................................ 356
18.19　三重信號征...............................................357
18.20　分區現象.................................................358

第19章　軟組織腫瘤相關(guān)的綜合征...................................359
19.1　Kasabach-Merritt綜合征.....................................360
19.2　Maffucci綜合征.............................................362
19.3　Klippel-Trenaunay綜合征....................................364
19.4　Mazabraud綜合征............................................365
19.5　神經(jīng)纖維瘤病1型............................................366
19.6　神經(jīng)纖維瘤病2型............................................370
19.7　神經(jīng)鞘瘤病.................................................373
19.8　Carney綜合征...............................................374
19.9　家族性高膽固醇血癥.........................................376

第四部分　練習與實(shí)踐
第20章　影像判讀會(huì )話(huà).............................................380
20.1　測驗1......................................................380
20.2　測驗2......................................................382
20.3　測驗3......................................................384
20.4　測驗4......................................................386
20.5　測驗5......................................................388
20.6　測驗6......................................................390
20.7　測驗7......................................................392
20.8　測驗8......................................................394
20.9　測驗9......................................................396
20.10　測驗10....................................................398
20.11　測驗11....................................................400
20.12　測驗12....................................................402
20.13　測驗13....................................................404
20.14　測驗14....................................................406
20.15　測驗15....................................................408
20.16　測驗16....................................................410
20.17　測驗17....................................................412
20.18　測驗18....................................................414
20.19　測驗19....................................................416
20.20　測驗20....................................................418
20.21　測驗21....................................................420
20.22　測驗22....................................................422
20.23　測驗23....................................................424
20.24　測驗24....................................................426
20.25　測驗25....................................................428
20.26　測驗26....................................................430
20.27　測驗27....................................................432
20.28　測驗28....................................................434
20.29　測驗29....................................................436
20.30　測驗30....................................................438
20.31　測驗31....................................................440
20.32　測驗32....................................................442
20.33　測驗33....................................................444

附錄.............................................................446