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目的提高对滑膜肉瘤的临床及影像学的认识。方法对我院经手术证实的13例滑膜肉瘤患者的临床表现、影像学表现,结合文献进行回顾性分析。结果滑膜肉瘤以年轻男性多见,下肢多于上肢,患者多以关节旁肿块就诊,但就诊时多已属晚期,由于对其认识不清,误诊或漏诊率较高。影像学表现以边界较清的肿块为主,骨改变不明显,如果并有散在钙化斑对诊断有较大帮助。血管造影均于肿块内见多数细小紊乱的肿瘤血管,并见附近动脉受肿瘤推移,勾划出肿瘤全部轮廓。结论临床上遇到软组织肿块,尤其位于关节旁、伴有疼痛、影像学检查有骨改变或钙化斑,要考虑到该病。如果对滑膜肉瘤有了一定的认识,早期诊断并不十分困难。
Objective To improve the clinical and imaging synovial sarcoma awareness. Methods The clinical manifestations and imaging findings of 13 cases of synovial sarcoma confirmed by surgery in our hospital were retrospectively analyzed. Results Synovial sarcoma was more common in young males, lower limbs were more than the upper limbs, and most of the patients were treated with the mass near the joint. However, most of the patients were already in advanced stages of their diagnosis. Misdiagnosis or misdiagnosis rate was high due to unclear understanding. Radiographic manifestations of relatively clear lumps of the main, no significant change in the bone, if there are scattered calcification on the diagnosis of a greater help. Angiography showed most of the small, disordered tumor vessels in the mass, and the surrounding arteries were seen by the tumor. The outline of the tumor was delineated. Conclusion Clinical encounter soft tissue mass, especially located in the joints, accompanied by pain, imaging changes of bone or calcified plaque, to take into account the disease. If you have some understanding of synovial sarcoma, early diagnosis is not very difficult.