<link rel="stylesheet" href="https://studioyszimg.yxj.org.cn/css/video-js.min.css?v=1"><link rel="stylesheet" href="https://studioyszimg.yxj.org.cn/article/css/base.css?v=5"><link rel="stylesheet" href="https://studioyszimg.yxj.org.cn/article/css/index.css?v=35"><link rel="stylesheet" href="https://ysz-web.yxj.org.cn/live/dist/static/base/index.css?ysz_v=2.0"><script src="https://studioyszimg.yxj.org.cn/js/dsbridge.js?v=13" type="text/javascript"></script><script src="https://ysz-web.yxj.org.cn/dsBridge/main.js?v=26" type="text/javascript"></script><script src="https://ysz-web.yxj.org.cn/live/dist/static/base/fun.js?ysz_v=3" type="text/javascript"></script><script src="https://ysz-web.yxj.org.cn/live/dist/static/js/nativeToWeb.js?v=1" type="text/javascript"></script><div id="ysz-header" style="margin:0;overflow:hidden;"><h1 style="font-size:24px;line-height:1.8;color:#333333;word-wrap:break-word;">一句话攻克骨肿瘤影像,你也可以做到!</h1><h2 style="font-size:16px;color:#999999;word-wrap:break-word;"><em style="font-style:normal;margin-right:10px;color:#7f7f7f;display:inline-block;">2021-07-29</em><em style="font-style:normal;margin-right:10px;color:#7f7f7f;display:inline-block;">原创:新乡医学影像诊断中心</em></h2></div><p style="text-align: right;"><span style="font-size: 12px; color: rgb(136, 136, 136);">仅供医学专业人士阅读参考</span></p><p><br/></p><p><span class="ysz-ueditor-title-one" style="font-size: 16px; line-height: 28px; font-weight: bold; color: rgb(215, 0, 15); text-align: left;">1、骨囊肿:</span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);"><br/></span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">肱骨或股骨近端,近生长板伴硬化缘的中央型病灶,最可能是单纯骨囊肿。而距骨一侧低密度病灶,最可能是单纯骨囊肿。典型征象:骨片陷落征</span></p><p><br/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh2oYzMxQtPiakqviaxwoPjFw2xEBo33CibFbT3pQicVFccywrvcp4Kbdbq0njHohUcFLFFWbpukibXAwPg/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE65494239D62B666F59.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtH3xcB9kbDI5yEoruEaRNBjxPIKU0uDlcpSSuamXxG9DG9sjmWnsnGicw/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE654BE5F7977CBD7800.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><br/></p><p><span class="ysz-ueditor-title-one" style="font-size: 16px; line-height: 28px; font-weight: bold; color: rgb(215, 0, 15); text-align: left;">2、软骨肉瘤(常规型):</span></p><p></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">成人(>30岁)+骨盆和长骨+髓腔内膨胀性破坏性病变+肿瘤基质内爆米花/环形/逗号状钙化+可皮质增生,内膜扇贝状改变+可有软组织肿块</span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);"><br/></span></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHX9QjVstkkMeUJMSuOO6oFA9tRZvbsmibxer4QicVIhwETQ6PkErYQsww/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE654E688BFB0A7EA22A.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 414px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHLvibK2htyjfIxkGdxNWtCQxmBrkAVdP5tHkhv82G5l6JpXticGxjU5iag/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE6551873438086F85AA.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 404px ;"/></p><p><br/></p><p><span class="ysz-ueditor-title-one" style="font-size: 16px; line-height: 28px; font-weight: bold; color: rgb(215, 0, 15); text-align: left;">3、软骨粘液样纤维瘤:</span></p><p><span style="color: rgb(0, 0, 0); font-size: 16px;"><br/></span></p><p><span style="color: rgb(0, 0, 0); font-size: 16px;">10-30岁+下肢骨+临近生长板+多房蜂窝状+偏心透光性病变+扇贝样硬化边+骨膜新生骨形成的骨垛+平片不明显的钙化灶+MR信号混杂</span><br/></p><p><span style="color: rgb(0, 0, 0); font-size: 16px;"><br/></span></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHo2xQ98Ou9fDfVJiawJu3UzXfWR4IZE98j58IyU8s8S0rWyug1TTRylA/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE655609C23F60950FF7.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHyvIy9Hq3TzYCrDFhrmEbm6vLxicB4iaalyPNTg11H4NBbtPwPXo02NSw/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE6559C0C32D5DE36C8D.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtH3GPCqkiafYE9Y6xZrsLq7J8KkXUCddVnU13ZU8astTgXWIozfbebgwA/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE655EE8A8F92679D50C.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHf9JDbFlSWtEPjwcqqw74FYbxAGfuWhYUSrCAicf3Y1LNSkjSnibDDkSw/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE6561388AC1661DDB27.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHRe3ac9HkibYkClexBXic406Zicq38ISopzhmwXYEPPm6zshndOvAN5heg/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE65660D20FB3CE1E36C.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><br/></p><p><span class="ysz-ueditor-title-one" style="font-size: 16px; line-height: 28px; font-weight: bold; color: rgb(215, 0, 15); text-align: left;">4、良性骨母细胞瘤:</span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);"><br/></span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">11-30Y+脊柱(棘突、椎弓和横突)和长管骨(干骺端)+骨局限性膨胀性低密度区+骨皮质变薄甚至断裂+周围清楚的薄壳状钙化+肿瘤内斑点状或大片状钙化或骨化+一般无骨膜反应。</span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);"><br/></span></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtH5VrREV7ibEYz1y6K2QnalqaxrHicODHaLHWZFKPmUOnOf7jex0446A5Q/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE6567C07734765611B6.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHzBFxnMxRyYRsVdILnWcG3dDLTvEGvPmVVplAN8CJST9oYABVSqib47A/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE656BB563BF553D356E.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHjPABaibPwWaliagOrMP0Fw0JhDDCExRGllibYmFbnqvALiaVMxlvUKkxOw/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE6570235D623C58BC86.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHCTaB5lWLeGSl2Qr37p72nMIUPaFGKweKECHnia7QLwQrA0lSoFu4LEQ/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE65750199F744C0B9DC.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHgIeHPEkRYRcSWojPXd3vUybaj0HpcZsib6zr4rt9SFD3nI4ZHGNMFxQ/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE657904CBA069DA0995.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><br/></p><p><span class="ysz-ueditor-title-one" style="font-size: 16px; line-height: 28px; font-weight: bold; color: rgb(215, 0, 15); text-align: left;">5、软骨母细胞瘤:</span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);"><br/></span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">青少年10-20Y,四肢长管骨骨骺区,肱骨、股骨上端和胫骨近端好发,长骨骨骺端圆形、卵圆形骨质破坏,边缘不同程度硬化,其内常见斑点状、片状钙化</span></p><p><br/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHw6AjicB03UnsdlQYhbCdHPM45DyXF8hKVjiaVGhswaGE3jDS4U1lE0gQ/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE657AA58F9403FBAB32.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtH7G0JpZZTtlcVP7Z0ia2uUaNclicuJlL2EkhA2bRKNj9pBYS6InWuicUjA/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE657E49E948537E19F4.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHwXoqzykJeEmiaEicO7qMCcHpoFFv0l2uk2q4uibg8qkm6Xe1eTj0Mvw7A/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE658352684F68F4735E.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><br/></p><p><span class="ysz-ueditor-title-one" style="font-size: 16px; line-height: 28px; font-weight: bold; color: rgb(215, 0, 15); text-align: left;">6、非骨化性纤维瘤:</span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);"><br/></span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">股骨远端后部近皮质病变(部位),伴扇形边缘及硬化边缘(形态)。病变位于长骨干骺端骨干的内侧,距骺板3~4cm处,1~5cm大小。圆形或椭圆形、偏心性生长,与骨长轴一致,呈分叶状,骨皮质变薄,而髓侧边缘硬化,界限清晰。肿瘤基底与髓腔边界处骨质轻微硬化,常呈肥皂泡沫状,可合并病理骨折。</span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);"><br/></span></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHHxoTwKze3wxL5Cic5AttbeU2hkmLxRtCpTGMpf0HgkoMNIsdxw2nwDA/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE6586C894A428C8599F.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 408px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHWInMQOib8bovbJcr5JTEaxRbu3l11QVtNelxr4DofHUsNa9CvicOAH5w/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE658A16A83912708A2B.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 409px ;"/></p><p><br/></p><p><span class="ysz-ueditor-title-one" style="font-size: 16px; line-height: 28px; font-weight: bold; color: rgb(215, 0, 15); text-align: left;">7、内生软骨瘤:</span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);"><br/></span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">爆米花样、环状、点状钙化灶+分叶状生长+伴发骨皮质内膜面扇贝样边缘;短状骨可无钙化</span></p><p><br/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHTkeNhT2KwebqiaTBaQFEF1D109YDfuYlFtJDtTq6zuiaSic4DfbDmuVWg/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE658DF4DE9D21187314.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtH1jm3OiaAFQJWggmsg4y3bOUicYibOnzBRBjs57TPKIP6eQLACI8G62ibdw/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE65901ADBDD456E21E5.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHicgdeiapGLgmgS4bZ4OybQXKEicZSYc9rwLHwB4yLFBGHRMmTcHDTOImg/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE659276543E5AFD9E27.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><br/></p><p><span class="ysz-ueditor-title-one" style="font-size: 16px; line-height: 28px; font-weight: bold; color: rgb(215, 0, 15); text-align: left;">8、骨巨细胞瘤:</span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);"><br/></span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">20-40Y,生长板闭合后的,发生于骨关节端的缺少硬化边的溶骨性病灶,+皂泡征,+偏心性=最可能是巨细胞瘤;骨巨细胞瘤内分隔成因=瘤壁骨嵴+残留骨+结缔组织间隔钙化</span></p><p><br/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHLeq3kU2icfsytvBCicsR31yvTLw2AE87FZggFVhjnAdic3RFXmEEMZ5zg/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE6596FD3E6273AF1FFC.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHUPibibB7n9YqzMb4XibTkasPRliayvRLq4T2boaR0zQKrWjaYlyL3GgePw/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE6598D2C7C935210BA8.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHA44wYSBNwmS43jAbdcDDpicToW83VqCXPmDp5rfysJ3wanD2DH0M5fQ/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE659B578BC5170AA596.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><br/></p><p><span class="ysz-ueditor-title-one" style="font-size: 16px; line-height: 28px; font-weight: bold; color: rgb(215, 0, 15); text-align: left;">9、骨样骨瘤:</span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);"><br/></span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">夜间加重的疼痛+服水杨酸(阿司匹林)缓解+低密密度瘤巢(中心可硬化)+周围反应性骨硬化</span></p><p><br/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHhR37CMOVodEjBll4asYia92EMa4Hhzqj4gmBNWVUAqjSib0A3N2E95WQ/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE65A02AFFD51CD10874.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHJPUZr48sdR2GZcFVAb4Fo1ANALEic8ClOr4Yx0CXMR1Ms1cibRsQ14EA/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE65A28381A37FE9507D.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><br/></p><p><span class="ysz-ueditor-title-one" style="font-size: 16px; line-height: 28px; font-weight: bold; color: rgb(215, 0, 15); text-align: left;">10、脊柱骨髓瘤:</span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);"><br/></span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">多椎体病变+弥漫性融骨性破坏+骨质疏松+附近早期不受累,晚期受累+椎体一般无后凸+软组织肿块少+实验室检查</span></p><p><br/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHRGupMa23ickfeWdCibgGOWhRQVS1VREhTNdvNHsicJnMx2sJ9DKxHZN5Q/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE65A6746515290B516E.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><br/><span class="ysz-ueditor-title-one" style="font-size: 16px; line-height: 28px; font-weight: bold; color: rgb(215, 0, 15); text-align: left;">11、脊柱转移瘤:</span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);"><br/></span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">原发病史+多椎体病变+浸润性改变+附件受累+软组织肿块+椎体后凸+相邻椎间隙、椎间盘一般无破坏。</span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);"><br/></span></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHRGupMa23ickfeWdCibgGOWhRQVS1VREhTNdvNHsicJnMx2sJ9DKxHZN5Q/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE65A6746515290B516E.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHWK60uuL57dssibdUahvcpK7gicl4puAjN0voCia6GQFkFHNWB4KfSxicjg/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE65AE89EA0B19CC9117.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 376px ;"/></p><p><br/></p><p><span class="ysz-ueditor-title-one" style="font-size: 16px; line-height: 28px; font-weight: bold; color: rgb(215, 0, 15); text-align: left;">12、骨肉瘤:</span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);"><br/></span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">一点突破,全面开花:即骨肉瘤突破皮质后形成明显的软组织肿块。</span></p><p><span style="color: rgb(0, 0, 0); font-size: 16px;"><br/></span></p><p><span style="color: rgb(0, 0, 0); font-size: 16px;">15-25Y(75%),长骨干骺端(股、胫骨);50岁以上好发于扁骨(髂骨),象牙样、棉絮样、针状瘤骨形成+虫噬状、筛孔样骨质破坏+层状、针状或放射状骨膜反应+骨膜三角(Codman三角) +软组织肿块+内有肿瘤骨或瘤软骨钙化+溶骨型病变在T1WI上呈略低至中信号,在T2WI上呈中等偏高信号。成骨性病变在T1和T2上均呈低信号,瘤周水肿在T2上为高信号</span><br/></p><p><span style="color: rgb(0, 0, 0); font-size: 16px;"><br/></span></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHxXkCQRicAYd1mvweiaypczL2jcpKROdyojOia9YsbSOToibx5Vialn6iaianA/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE65B39FB0255247E88B.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHLDGMbLeKreVBwRb7qFb7hicem9AoVIgVkr8kgvgtIGpeQRciaTa9oibkA/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE65B61169313CBA0517.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHTAHKZxzU6MAZspbYtNCUzp7DwKGS1pWkzb1yoD3K9xWfGIAiaA5LNrw/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE65B7B760CD32396DE0.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 435px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHUmLONBOh5PDgZJDEvX7zIu0Pcic91SbZ777KU98ozu1vIoUFd5n8MjQ/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE65BBF8345B049E6220.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 459px ;"/></p><p><br/></p><p><span class="ysz-ueditor-title-one" style="font-size: 16px; line-height: 28px; font-weight: bold; color: rgb(215, 0, 15); text-align: left;">13、尤文氏肉瘤:</span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);"><br/></span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);">青少年(10-20长骨;20-25扁骨)+浸润性骨质破坏+蝶形皮质+侵袭性骨膜反应(骨膜三角和放射骨针)+软组织肿块</span></p><p><span class="ysz-ueditor-content" style="font-size: 16px; line-height: 28px; color: rgb(0, 0, 0);"><br/></span></p><p></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtHWvjDdo7FZjE8S1GpmWmfXb1D83NRHC0EKef6rNbpoCIIoo2hKHQDWg/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE65C09EC2EA1C2EE6E2.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><img data-src="https://mmbiz.qpic.cn/mmbiz/DDlzCKorxh103rwVy4EQ60NHXXceZAtH9snKotQRUBaTxPSAoU6LticGxkYtnPJsThCFukPqgdBqDOMvjmgeHzA/640?wx_fmt=jpeg" class="" src="https://studioyszimg.yxj.org.cn/0A00007C017ACE65C4B5A1F301581217.jpg" alt="图片" style="margin: 0px; padding: 0px; box-sizing: border-box ; overflow-wrap: break-word ; visibility: visible ; width: 677px ;"/></p><p><br/></p>

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