肋骨骨软骨瘤与肋骨软骨瘤的影像学表现并文献复习

目的探讨肋骨骨软骨瘤与肋骨软骨瘤的影像学表现及临床评价。方法回顾分析经病理证实的肋骨骨软骨瘤与肋骨软骨瘤各1例的X线、CT表现。结果肋骨骨软骨瘤患者19岁,肋骨软骨瘤患者20岁,均发现病变局部向体外突出的无痛性包块,X线片示病变肋骨局部见密度增高影,边界清楚欠规则,部分突出于胸廓外,CT示肋骨骨软骨瘤肿块形态不规则,边界清楚,似有皮质及松质之分;肋骨软瘤见一爆米花样骨性肿块,形态不规则,似有轻度膨胀性改变。结论肋骨骨软骨瘤及肋骨软骨瘤均具有一定的影像学特征,结合病理学检查可鉴别诊断。

Objective Osteochondroma of rib and costal cartilage tumor imaging and clinical evaluation.Methods Review confirmed by pathology ribs osteochondroma ribs and 1 case of cartilage tumor each X-ray,CT manifestations.Results Ribs osteochondroma patients ribs,19,20 years old,cartilage tumor patients were found to local lesion in vitro prominent painless bag piece,X-ray shows lesions ribs local see gained density shadow,borders owe rules,some outstanding on thoracic outside,CT demonstrating ribs osteochondroma mass form irregular,borders,seemingly cortex and loose type points： Ribs soft tumour sample saw a popcorn bony bump,form irregular,there may be mild dilatability change.Conclusion Ribs osteochondroma and ribs cartilage tumor have certain imaging characteristics,combined with pathological examination can the differential diagnosis.