MRI Manifestations of Giant Cell Tumor of Tendon Sheath_West China Medical Journal

Authors：

HUANG Jianjun ^1,2 , TIAN Zhicheng ² , HUANG Juan ¹ , HU Huaqiang ² , FAN Hong ²

1. Department of Radiology, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, P. R. China; 2. Department of Radiology, the First Municipal People’ s Hospital, Suining, Sichuan 629000, P. R. China;

Corresponding author：

Keywords：

腱鞘巨细胞瘤; 磁共振成像; 诊断

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目的　探讨腱鞘巨细胞瘤（GCTTS）的MRI表现特点。方法　收集2008年12月－2010年8月9例经手术病理组织证实的GCTTS患者MRI影像进行回顾性分析。所有患者均行MRI平扫，2例行增强扫描。结果　9例GCTTS患者中，病变位于膝关节6例，踝关节1例，腕关节1例，足背1例；4例局限型，5例弥漫型。T1加权像6例与骨骼肌信号相近，1例稍高于骨骼肌，2例相对于骨骼肌呈等低信号；T2加权像5例稍高于骨骼肌信号，2例相对于骨骼肌呈等高混杂信号，2例呈高低混杂信号；2例增强后病灶明显不均匀强化；关节积液2例，骨质受侵犯2例。结论　MRI对GCTTS有特征性表现，并敏感显示关节内外组织结构的侵犯程度及范围，MRI是诊断GCTTS的理想检查方法。

Citation： HUANG Jianjun,TIAN Zhicheng,HUANG Juan,HU Huaqiang,FAN Hong. MRI Manifestations of Giant Cell Tumor of Tendon Sheath. West China Medical Journal, 2012, 27(8): 1205-1208. doi: Copy

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1. 　武忠弼, 杨光华.中华外科病理学[M]. 北京: 人民卫生出版社, 2002: 2495-2497.
2. 　刘子君. 骨关节病理学[M]. 北京: 人民卫生出版社, 1992: 427-428.
3. 　Kitagawa Y, Ito H, Amano Y, et al. MR imaging for preoperative diagnosis and assessment of local tumor extent on localized giant cell tumor of tendon sheath[J]. Skeletal Radiol, 2003, 32(11): 633-638.
4. 　董越, 伍建林, 李莉.弥漫型腱鞘巨细胞瘤的影像诊断和文献复习[J]. 中国临床医学影像学杂志, 2007, 18(11): 785-788.
5. 　艾松涛, 孙明华, 余强, 等.手足局限性腱鞘巨细胞瘤的MRI表现[J]. 放射学实践，2008, 23(5): 543-546.
6. 　Jaffe HL, Lichtenstein L, Sutro CJ. Pigmented villonodular synovitis, bursitis and tenosynovitis[J]. Arch Pathol, 1941, 31(3): 731-765.
7. 　Anazawa U, Hanaoka H, Shiraishi T, et al. Similarities between giant cell tumor of bone giant cell tumor of tendon sheath，and pigmented villonodular synovitis concerning ultrastructural cytochemical features of multinucleated giant cells and mononuclear stromal cells[J]. Ultrastruct Pathol, 2006, 30(3): 151-158.
8. 　Robert B, West-Brian P, Rubin-Melinda A, et al. A landscape effect in tenosynovial giant-cell tumor from activation of CSF1 expression by a translocation in a minority of tumor cells[J]. PNAS, 2006, 103(3): 690-695.
9. 　Wan JM, Magarelli N, Peh WC, et al. Imaging of giant cell tumer of the tendon sheath[J]. Radiol Med, 2010, 115(1): 141-151.
10. 　徐胜生, 肖家和, 周翔平, 等. 色素沉着绒毛结节性滑膜炎、腱鞘巨细胞瘤的MRI表现及其应用价值[J]. 实用放射学杂志, 2005, 21(8): 850-853.
11. 　李箭, 宋文锴, 蒋欣, 等.关节镜诊治膝关节内腱鞘巨细胞瘤[J].中华医学实践杂志, 2003, 2(4): 329-330.
12. 　郁万江, 徐爱德, 杜湘珂.弥漫性腱鞘巨细胞瘤的影像学诊断[J].中国医学影像技术, 2009, 25(4): 692-694.
13. 　鹿强, 田笑. 膝关节腱鞘巨细胞瘤的MRI表现[J]. 重庆医学, 2010, 39(12): 1587-1589.
14. 　De Beuckeleer L, De Schepper A, De Belder F, et al. Magnetic resonance imaging of localized giant cell tumor of the tendon sheath (MRI of localized GCTTS)[J]. Eur Radiol, 1997, 7(2): 198-201.
15. 　Jelinek JS, Kransdorf MJ, Shmookler BM, et al. Giant cell tumor of the tendon sheath: MR finding in nine cases[J]. AJR Am Jroentgenol, 1994, 162(4): 919-922.
16. 　唐翠松, 李文彬, 杨世勋, 等.腱鞘巨细胞瘤的MRI诊断价值[J].上海交通大学学报(医学版), 2008, 28(1): 13-16.
17. 　王静, 胡红杰.腱鞘巨细胞瘤11例MRI征象分析[J]. 全科医学临床与教育, 2010, 8(2): 164-166.
18. 　顾东华, 孙明. 腱鞘巨细胞瘤的影像学诊断（附13例分析）[J].放射学实践, 2011, 26(5): 530-533.
19. 　De Schepper AM, Hogendoom PC, Bloem JL. Giant cell tumors of the tendon sheath may present radiologically as intrinsic osseous lesions[J]. Eur Radiol, 2007, 17(2): 499-502.

West China Medical Journal

MRI Manifestations of Giant Cell Tumor of Tendon Sheath

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