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：

腱鞘巨細胞瘤; 磁共振成像; 診斷

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目的　探討腱鞘巨細胞瘤（GCTTS）的MRI表現特點。方法　收集2008年12月－2010年8月9例經手術病理組織證實的GCTTS患者MRI影像進行回顧性分析。所有患者均行MRI平掃，2例行增強掃描。結果　9例GCTTS患者中，病變位于膝關節6例，踝關節1例，腕關節1例，足背1例；4例局限型，5例彌漫型。T1加權像6例與骨骼肌信號相近，1例稍高于骨骼肌，2例相對于骨骼肌呈等低信號；T2加權像5例稍高于骨骼肌信號，2例相對于骨骼肌呈等高混雜信號，2例呈高低混雜信號；2例增強后病灶明顯不均勻強化；關節積液2例，骨質受侵犯2例。結論　MRI對GCTTS有特征性表現，并敏感顯示關節內外組織結構的侵犯程度及范圍，MRI是診斷GCTTS的理想檢查方法。

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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12.	郁萬江, 徐愛德, 杜湘珂.彌漫性腱鞘巨細胞瘤的影像學診斷[J].中國醫學影像技術, 2009, 25(4): 692-694.
13.	鹿強, 田笑. 膝關節腱鞘巨細胞瘤的MRI表現[J]. 重慶醫學, 2010, 39(12): 1587-1589.
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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.
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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.

1. 　武忠弼, 楊光華.中華外科病理學[M]. 北京: 人民衛生出版社, 2002: 2495-2497.
2. 　劉子君. 骨關節病理學[M]. 北京: 人民衛生出版社, 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.彌漫型腱鞘巨細胞瘤的影像診斷和文獻復習[J]. 中國臨床醫學影像學雜志, 2007, 18(11): 785-788.
5. 　艾松濤, 孫明華, 余強, 等.手足局限性腱鞘巨細胞瘤的MRI表現[J]. 放射學實踐，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. 　徐勝生, 肖家和, 周翔平, 等. 色素沉著絨毛結節性滑膜炎、腱鞘巨細胞瘤的MRI表現及其應用價值[J]. 實用放射學雜志, 2005, 21(8): 850-853.
11. 　李箭, 宋文鍇, 蔣欣, 等.關節鏡診治膝關節內腱鞘巨細胞瘤[J].中華醫學實踐雜志, 2003, 2(4): 329-330.
12. 　郁萬江, 徐愛德, 杜湘珂.彌漫性腱鞘巨細胞瘤的影像學診斷[J].中國醫學影像技術, 2009, 25(4): 692-694.
13. 　鹿強, 田笑. 膝關節腱鞘巨細胞瘤的MRI表現[J]. 重慶醫學, 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, 楊世勛, 等.腱鞘巨細胞瘤的MRI診斷價值[J].上海交通大學學報(醫學版), 2008, 28(1): 13-16.
17. 　王靜, 胡紅杰.腱鞘巨細胞瘤11例MRI征象分析[J]. 全科醫學臨床與教育, 2010, 8(2): 164-166.
18. 　顧東華, 孫明. 腱鞘巨細胞瘤的影像學診斷（附13例分析）[J].放射學實踐, 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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