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1
参考中文标题：
在MRI表现囊性病变在膝关节周围。 [审查] [ 40参]
PMID及链接：
14991250 http://www.syyxw.com/Archive/Detail/14991250
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摘 要：
This review presents a comprehensive illustrated overview of the wide variety of cystic lesions around the knee. The aetiology, clinical presentation, MRI appearances and differential diagnosis are discussed. Bursae include those related to the patella as well as pes anserine, tibial collateral ligament, semimembranosus-tibial collateral ligament, iliotibial and fibular collateral ligament-biceps femoris. The anatomical extension, imaging features and clinical significance of meniscal cysts are illustrated. Review of ganglia includes intra-articular, extra-articular, intraosseous and periosteal ganglia, highlighting imaging findings and differential diagnoses. The relationship between proximal tibiofibular joint cysts and intraneural peroneal nerve ganglia is discussed. Intraosseous cystic lesions, including insertional and degenerative cysts, as well as lesions mimicking cysts of the knee are described and illustrated. Knowledge of the location, characteristic appearance and distinguishing features of cystic masses around the knee as well as potential imaging pitfalls such as normal anatomical recesses and atypical cyst contents on MR imaging aids in allowing a specific diagnosis to be made. This will prevent unnecessary additional investigations and determine whether intra-articular surgery or conservative management is appropriate. [References: 40]
参考中文摘要：
这次审查提出了一个全面的说明概述了各种囊性病变在膝关节周围。的病因，临床表现， MRI表现及鉴别诊断进行了讨论。囊包括那些有关髌骨以及聚醚砜委陵菜，胫骨韧带，半小腿韧带，髂胫和腓韧带，股二头肌。解剖延伸，影像学特征及临床意义半月板囊肿说明。审查节包括关节内，关节外，骨内和骨膜节，突出影像学表现和鉴别诊断。之间的关系近端胫腓关节囊肿和intraneural腓总神经节进行了讨论。骨内囊性病变，包括插入和退行性囊肿，以及病变酷似囊肿膝关节本文描述。知识的位置，外观特点和不同特点的囊性肿块在膝关节周围以及潜在的陷阱，如成像正常解剖凹槽和非典型囊肿内容磁共振成像艾滋病在允许一个特定的诊断必须作出。这将避免不必要的额外的调查，并确定是否关节腔内手术或保守的管理是适当的。 [参考文献： 40 ]
出 处：
Skeletal radiology. 2004 Apr ,33 (4) :187-209
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2
参考中文标题：
原发性滑膜骨软骨瘤病髋：外模式的蔓延。
PMID及链接：
14985872 http://www.syyxw.com/Archive/Detail/14985872
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摘 要：
OBJECTIVE: To identify patterns of extracapsular extension of synovial osteochondromatosis of the hip. DESIGN AND PATIENTS: Seven cases of synovial osteochondromatosis of the hip were retrospectively reviewed. Imaging performed included conventional radiography ( n=7), arthrography ( n=1), CT ( n=3) and MR imaging ( n=3). Disease extent on imaging was assessed for each patient and the presence of intra-articular effusion, capsular abnormality and osteochondral bodies recorded. The presence and distribution of extra-articular spread was also assessed and correlated with the surgical findings. In all cases diagnosis was confirmed by biopsy, with all patients undergoing tumor resection with or without synovectomy. RESULTS: In five cases (5/7) disease extended beyond the hip capsule, while the remaining two cases (2/7) were confined to the hip joint. These findings were confirmed at surgery. Two distinct patterns of extracapsular spread were identified. The first pattern, noted in three cases, involved tumor extension along iliopsoas. The second pattern, noted in five cases, involved tumor extension along the obturator externus fat plane. In three cases both patterns were present. CONCLUSIONS: Extra-articular spread of synovial osteochondromatosis is common. Patterns of extra-articular spread may be predictable based on involvement of recognized periarticular bursae of the hip joint. Bursal patterns of extra-articular spread include extension into the iliopsoas bursa as well as communication along the obturator externus bursa of the hip.
参考中文摘要：
目的：确定模式外延长滑膜骨软骨瘤病的髋关节。设计与患者： 7例滑膜骨软骨瘤病的髋关节进行回顾。影像学表现包括常规X线摄影（ 7例） ，关节（ 1例） ， CT表现（ 3例）和磁共振成像（ 3例） 。疾病的程度上成像进行了评估，并为每个病人的存在关节腔内积液，异常和关节囊机构记录。的存在和分布关节外蔓延还评估和相关的手术结果。在所有情况下，诊断证实了活检，所有患者的肿瘤切除或无滑膜切除术。结果：在5个案件（ 5月7日）疾病延长到髋关节囊，其余2例（ 2 / 7 ）局限于髋关节。这些结果证实手术。两种截然不同的模式，确定了外蔓延。的第一个模式，指出在三起案件中，涉及肿瘤延长沿髂腰肌。第二个模式，指出了5起案件，涉及肿瘤延长沿闭孔外脂肪飞机。在三起案件均模式在场。结论：关节外蔓延滑膜骨软骨瘤病是常见的。模式关节外蔓延可能是可预测的基础上参与，承认周围囊髋关节。法氏囊模式关节外蔓延包括延长到髂腰肌囊以及通讯沿闭孔外囊髋。
出 处：
Skeletal radiology. 2004 Apr ,33 (4) :210-5
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3
参考中文标题：
胸椎光盘有关的异常：纵向磁共振成像评估。
PMID及链接：
14991248 http://www.syyxw.com/Archive/Detail/14991248
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摘 要：
OBJECTIVE: To describe and characterize the temporal changes in disc-related disorders of the thoracic spine using MR imaging. DESIGN AND PATIENTS: A retrospective longitudinal cohort study was carried out of 40 patients with two sequential thoracic spine MR images at variable intervals. The images were assessed for baseline presence of, new incidence of and changes in disc herniation, degenerative disc disease, endplate marrow signal alteration and Schmorl nodes. RESULTS: The range of follow-up was 4-149 weeks. Baseline presence was: disc herniation, 10% (49/480); degenerative disc disease, 14% (66/480); endplate marrow signal alteration, 2.3% (11/480); Schmorl nodes 9.6% (46/480). Most pre-existing lesions tended to remain unchanged. Herniations showed the most change, tending to improve in 27%. New incidence was: disc herniation, 1.5% (7/480), degenerative disc disease, 2% (10/480); endplate marrow signal alteration, 1.6% (8/480); Schmorl nodes, 2.1% (10/480). Disc degeneration was first visible at an 11-week interval and once established almost never changed over many weeks to months. Endplate signal alterations (Modic changes) were uncommon. Schmorl nodes show no change from baseline for up to 2 1/2 years. All findings predominated in the lower intervertebral levels from T6 to T10. CONCLUSION: The most prevalent thoracic spine disc-related findings are degeneration and herniation. Disc herniations predominate in the lower segments and are a dynamic phenomenon. Disc degeneration can be rapidly evolving but tends to remain unchanged after occurrence. Endplate marrow signal changes were an uncommon manifestation of thoracic disc disease. Schmorl nodes showed the least change over time.
参考中文摘要：
目的：描述和特征的时空变化光盘相关疾病的胸椎利用磁共振成像。设计与患者：回顾性纵向队列研究进行了40例连续两次胸椎磁共振图像可变间隔。这些照片被评估为基准的存在，新的发生率和变化，椎间盘突出症，腰椎间盘退变疾病，终板骨髓信号改变和许莫节点。结果：在一系列的后续行动4-149星期。基线的存在是：腰椎间盘突出症， 10 ％ （第49/480号） ;退行性椎间盘疾病， 14 ％ （四百八分之六十六） ;终骨髓信号改建， 2.3 ％ （四百八十〇分之一十一） ;许莫节点9.6 ％ （四百八十零分之四十六） 。大多数原先存在的病变往往会保持不变。椎间盘突出显示最变化，趋向于提高27 ％ 。新发病率为：腰椎间盘突出症， 1.5 ％ （ 7 / 480 ） ，腰椎间盘退变疾病， 2 ％ （四百八十○分之十） ;终骨髓信号改建， 1.6 ％ （ 8 / 480 ） ;许莫节点， 2.1 ％ （四百八十零分之一十） 。椎间盘退变是第一次看见在11个星期的时间间隔和一旦确立几乎没有变化，许多个星期到几个月。终板信号改变（ Modic变化）是罕见的。许莫节点显示没有变化基准的2 1 / 2年。所有调查结果主要集中在较低的水平扩建融合到的T10 。结论：最流行的胸椎光盘有关的调查结果是变性症。椎间盘突出症主要在较低的阶层，是动态的现象。椎间盘退变可迅速发展，但往往发生后保持不变。终板骨髓的信号变化，一种罕见的表现，胸椎间盘突出症。许莫节点显示，至少有随时间而改变。
出 处：
Skeletal radiology. 2004 Apr ,33 (4) :216-22
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4
参考中文标题：
骨内恶性周围神经鞘膜肿瘤局部复发，肺转移和死亡。
PMID及链接：
14758514 http://www.syyxw.com/Archive/Detail/14758514
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摘 要：
Malignant peripheral nerve sheath tumor (MPNST) is almost always seen in soft tissue. Skeletal involvement by MPNST is uncommon and usually results from secondary invasion. Primary MPNSTs are exceptionally rare. We report a surgically proven case of intraosseous MPNST, with local recurrence and lung metastasis during follow-up. The imaging and histological features of the case are described and the literature on the subject briefly reviewed.
参考中文摘要：
恶性外周神经鞘膜瘤（ MPNST ）几乎总是出现软组织。骨骼肌参与MPNST是少见，通常的结果中学入侵。原发性恶性周围神经鞘膜瘤是极为罕见的。我们报告一个手术证明案件内MPNST ，与局部复发和肺转移期间的后续行动。影像学和组织学特征的情况介绍和文献关于这一主题的简要回顾。
出 处：
Skeletal radiology. 2004 Apr ,33 (4) :223-5
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5
参考中文标题：
原发性肺癌转移到孤立性纤维瘤。
PMID及链接：
14758513 http://www.syyxw.com/Archive/Detail/14758513
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摘 要：
We report the case of a 78-year-old man with a 2 month history of newly diagnosed metastatic lung adenocarcinoma, who presented with a left gluteal soft tissue mass. Histological examination of the mass revealed a solitary fibrous tumor containing metastases from adenocarcinoma.
参考中文摘要：
我们报告一名78岁男子2个月的历史新诊断转移性肺腺癌，谁提出一个左臀部软组织肿块。组织学检查大众揭示了孤立性纤维瘤载转移腺癌。
出 处：
Skeletal radiology. 2004 Apr ,33 (4) :226-9
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6
参考中文标题：
孤独病变距骨混合硬化和裂解变化： Rosai - Dorfman病的25年时间。
PMID及链接：
14740182 http://www.syyxw.com/Archive/Detail/14740182
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摘 要：
Rosai-Dorfman disease (sinus histiocytosis with massive lymphadenopathy) is an unusual form of histiocytic disorder predominantly affecting children and young adults. Bone lesions are infrequent. We describe a 63-year-old woman with a solitary lesion of the talus which was misdiagnosed for 25 years. The patient never had adenopathy or other organ involvement. The radiographic findings were a mixture of sclerotic and lytic changes, an extremely rare and unusual presentation of the disease.
参考中文摘要：
Rosai - Dorfman病（窦组织大规模淋巴结）来说是不同寻常的形式组织障碍主要影响儿童和青少年。骨病变的少见。我们描述一个63岁女子与孤立病灶距骨被误诊为25年。从未有过的病人淋巴结或其他器官。 X线发现的混合物硬化和溶解的变化，是极其罕见和不寻常的介绍疾病。
出 处：
Skeletal radiology. 2004 Apr ,33 (4) :230-3
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7
参考中文标题：
锁骨骨瘤与支气管骨瘤。
PMID及链接：
14615917 http://www.syyxw.com/Archive/Detail/14615917
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摘 要：
Osteoma is a rare benign tumor, composed of bony tissues. It predominantly involves the skull but rarely the long bones. In this report we present a case of clavicular osteoma associated with bronchial osteomas. This association has not previously been reported. There was no evidence of Gardner's syndrome.
参考中文摘要：
骨瘤是一种罕见的良性肿瘤，由骨性组织。它主要涉及的头骨，但很少的长骨。在本报告中我们提出一个案件锁骨骨瘤与支气管骨瘤。该协会还没有以往的报告。目前还没有任何证据加德纳综合征。
出 处：
Skeletal radiology. 2004 Apr ,33 (4) :234-6
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8
参考中文标题：
增生性肌炎患者艾滋病。
PMID及链接：
14655025 http://www.syyxw.com/Archive/Detail/14655025
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摘 要：
We report a case of proliferative myositis in the right biceps of a 56-year-old man with acquired immune deficiency syndrome (AIDS). Imaging methods included sonography, computed tomography and magnetic resonance imaging. The diagnosis was made by a core-cut biopsy and fine needle aspiration biopsy with immunohistochemical analysis. The lesion disappeared after 2 months without treatment. It is particularly important to determine whether intramuscular masses arising in patients with AIDS are due to an infectious or malignant process.
参考中文摘要：
我们报告一例增生性肌炎在右二头肌的一名56岁男子与获得性免疫缺陷综合症（艾滋病） 。成像方法包括超音波，电脑断层扫描和磁共振成像。诊断是由一个核心切活检和细针穿刺活检的免疫组织化学分析。病灶消失2个月后在没有接受治疗。尤其重要的是，以确定是否肌肉注射群众中产生的艾滋病患者是由于感染或恶性肿瘤的进程。
出 处：
Skeletal radiology. 2004 Apr ,33 (4) :237-40
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9
参考中文标题：
骨卡波西氏肉瘤的艾滋病毒阳性患者。
PMID及链接：
14747962 http://www.syyxw.com/Archive/Detail/14747962
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摘 要：
A case of osseous Kaposi sarcoma in a 35-year-old man is described. The patient (HIV-positive for 8 years) suffered from cutaneous Kaposi sarcoma and presented with right-sided chest pain. He underwent a chest CT scan that revealed three osteolytic lesions involving rib and vertebra with large soft tissue masses, without cutaneous lesions at these sites. CT-guided core needle biopsy led to a histological diagnosis of Kaposi sarcoma.
参考中文摘要：
例骨卡波西肉瘤的35岁男子被描述。病人（艾滋病毒抗体阳性者为8年）因皮肤卡波西肉瘤和提出右侧胸痛。他接受了胸部CT扫描，发现三个溶骨性病变的肋骨和椎骨大软组织肿块，无皮肤病灶在这些网站上。 CT引导下定位穿刺活检导致病理诊断的卡波西氏肉瘤。
出 处：
Skeletal radiology. 2004 Apr ,33 (4) :241-3
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10
参考中文标题：
肺结核表现为多灶性溶解皮质病变股骨。 [修改] [ 13参]
PMID及链接：
14628100 http://www.syyxw.com/Archive/Detail/14628100
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摘 要：
Tuberculosis remains a major international health problem despite advances in radiological diagnosis and antituberculous therapy. Disseminated tuberculous infection affecting a single bone and manifested as multifocal lytic cortical lesions is rare and unusual. We report on a 50-year-old man with multifocal involvement of the femur by tuberculosis and demonstrate positive reaction using tuberculosis-polymerase chain reaction on formalin-fixed, paraffin-embedded histological specimens. [References: 13]
参考中文摘要：
结核病仍是一个重大的健康问题，尽管国际先进的影像学诊断和抗结核治疗。播散性结核感染的一个单一的骨骼和表现为多灶性溶解皮质病灶是非常罕见和不寻常的。我们报告一个50岁男子多参与股骨肺结核和积极的反应证明使用肺结核聚合酶链反应对福尔马林固定，石蜡包埋组织标本。 [参考文献： 13 ]
出 处：
Skeletal radiology. 2004 Apr ,33 (4) :244-7
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