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首页> 外文期刊>Skeletal radiology >Indeterminate soft-tissue tumors of the hand and wrist: a review based on a clinical series of 39 cases.
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Indeterminate soft-tissue tumors of the hand and wrist: a review based on a clinical series of 39 cases.

机译：手和腕部不确定的软组织肿瘤：基于39例临床系列的综述。

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摘要

Soft-tissue masses located at the hand and wrist are a frequent clinical presentation. The majority of these are ganglia, which have characteristic imaging features. Other common masses in which a diagnosis is suggested by imaging include hemangiomas, lipomas, and focal synovitis. The remainder are rare although a diagnosis may be attempted by considering the patients' age and the location. We reviewed 39 soft-tissue masses at the hand and wrist referred to our institution between September 1998 and January 2006 that had indeterminate imaging features. The majority were benign neoplastic lesions with the most common being a giant cell tumor of the tendon sheath, followed by angioleiomyoma, peripheral nerve sheath tumor, fibromatosis, fibroma of tendon sheath, and solitary fibrous tumor. These lesions tend to occur in young adults at the metacarpal level. However, there are no imaging features that can reliably differentiate between benign and malignant tumors.
机译：位于手和腕部的软组织肿块是常见的临床表现。其中大多数是神经节，具有特征性的成像特征。影像学提示诊断的其他常见肿块包括血管瘤，脂肪瘤和局灶性滑膜炎。尽管可以通过考虑患者的年龄和位置来尝试进行诊断，但其余部分很少见。我们回顾了1998年9月至2006年1月间转诊给我们机构的手和腕部39处具有不确定影像学特征的软组织肿块。多数是良性肿瘤性病变，最常见的是腱鞘巨细胞瘤，其次是血管平滑肌瘤，周围神经鞘瘤，纤维瘤病，腱鞘纤维瘤和孤立性纤维瘤。这些病变往往发生在年轻人的掌骨水平。但是，没有能够可靠地区分良性和恶性肿瘤的影像学特征。

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