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醫學(xué)影像學(xué)貫穿于骨腫瘤診斷和分期、治療效果評估和患者預后管理等環(huán)節分。本書(shū)旨在為放射科醫生、骨科醫生和病理科醫生提供骨腫瘤影像學(xué)表現特點(diǎn)及其影像分析方法,揭示組織病理學(xué)基礎。
本書(shū)詳細敘述了骨腫瘤的診斷依據、骨腫瘤的典型和不典型影像學(xué)表現,并針對臨床實(shí)踐中病例分析診斷的問(wèn)題,結合X線(xiàn)和MRI的征象及病變部位分析,給出了18種骨腫瘤的診斷技巧。
希望本書(shū)能夠幫助讀者全面理解骨腫瘤和腫瘤樣病變的影像學(xué)表現,運用分析技巧,在臨床實(shí)踐中做出精確診斷。
第一部分 概論
第1章 基本概述和診斷依據............................................ 002
1.1 流行病學(xué).......................................................002
1.2 病變部位.......................................................003
1.3 生物學(xué)行為(骨破壞方式).......................................006
1.4 病變透光度和基質(zhì)礦化...........................................006
1.5 骨膜反應和骨內膜反應...........................................010
1.6 病變數目.......................................................012
推薦文獻............................................................012
第二部分 腫瘤分類(lèi)和影像學(xué)特征
第2章 成骨類(lèi)腫瘤......................................................014
2.1 骨瘤............................................................014
2.2 骨島............................................................016
2.3 骨樣骨瘤........................................................023
2.4 骨母細胞瘤......................................................029
2.5 骨肉瘤..........................................................030
推薦文獻.............................................................060
第3章 軟骨類(lèi)腫瘤......................................................064
3.1 骨軟骨瘤........................................................064
3.2 內生軟骨瘤......................................................069
3.3 骨膜軟骨瘤(皮質(zhì)旁軟骨瘤)..................................... 073
3.4 軟骨黏液纖維瘤..................................................076
3.5 甲下外生骨疣....................................................079
3.6 奇異性骨旁骨軟骨瘤樣增生........................................081
3.7 軟骨母細胞瘤....................................................085
3.8 軟骨肉瘤........................................................091
推薦文獻.............................................................106
第4章 纖維類(lèi)和纖維組織細胞類(lèi)腫瘤......................................110
4.1 骨韌帶樣纖維瘤..................................................110
4.2 骨纖維肉瘤......................................................114
4.3 非骨化性纖維瘤/纖維性皮質(zhì)缺損...................................116
4.4 骨良性纖維組織細胞瘤............................................121
推薦文獻.............................................................123
第5章 富含破骨樣巨細胞腫瘤............................................125
5.1 小骨巨細胞病變..................................................125
5.2 骨巨細胞瘤......................................................126
推薦文獻.............................................................139
第6章 造血組織腫瘤和小圓細胞性腫瘤....................................140
6.1 漿細胞性骨髓瘤/孤立性漿細胞瘤...................................140
6.2 骨淋巴瘤........................................................147
6.3 尤文肉瘤........................................................152
推薦文獻.............................................................158
第7章 血管性腫瘤......................................................160
7.1 血管瘤..........................................................160
7.2 血管肉瘤........................................................163
7.3 上皮樣血管內皮細胞瘤............................................166
推薦文獻.............................................................169
第8章 其他腫瘤樣病變和軟組織型腫瘤....................................171
8.1 單純性骨囊腫....................................................171
8.2 動(dòng)脈瘤樣骨囊腫..................................................175
8.3 纖維結構不良................................................... 180
8.4 骨纖維結構不良..................................................185
8.5 朗格漢斯細胞組織細胞增生癥......................................191
8.6 骨內脂肪瘤......................................................198
8.7 骨脂肪硬化性黏液纖維性腫瘤......................................201
8.8 造釉細胞瘤......................................................205
8.9 棕色瘤..........................................................210
推薦文獻.............................................................212
第9章 腫瘤相關(guān)綜合征..................................................216
9.1 內生軟骨瘤?。篛llier病和Maffucci綜合征..........................216
9.2 多發(fā)性骨軟骨瘤..................................................223
9.3 McCune-Albright綜合征...........................................225
9.4 Mazabraud綜合征.................................................226
9.5 Jaffe-Campanacci綜合征..........................................227
推薦文獻.............................................................228
第三部分 骨腫瘤影像診斷技巧
第10章 X線(xiàn)征象........................................................232
10.1 骨髓腔內硬化性病變.............................................232
10.2 骨表面的成骨性病變.............................................236
10.3 地圖狀溶骨性病變:有硬化邊緣、病變內無(wú)基質(zhì).....................237
10.4 地圖狀溶骨性病變:無(wú)硬化邊緣、病變內無(wú)基質(zhì).....................239
10.5 膨脹性溶骨性病變:假骨小梁形成(皂泡樣改變)...................241
10.6 侵蝕性溶骨性病變:蟲(chóng)蝕樣/滲透性骨質(zhì)破壞........................243
10.7 溶骨和骨硬化混合性病變.........................................244
10.8 軟骨樣基質(zhì).....................................................245
10.9 骨樣基質(zhì).......................................................246
10.10 有蒂或無(wú)蒂的骨性贅生物........................................248
10.11 骨皮質(zhì)旁的病變................................................249
參考文獻.............................................................251
第11章 MRI征象........................................................255
11.1 病變內特征.......................................................255
11.2 輔助征象.......................................................260
11.3 “難以捉摸”的病變.............................................263
參考文獻.............................................................266
第四部分 練習和實(shí)踐:影像判讀會(huì )話(huà)
第12章 病例分析.......................................................272
答案................................................................ 314
附錄 英文縮寫(xiě)詞中文對照...............................................321
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