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2012 | 12 | 51 | 381–401
Article title

Ocena ultrasonograficzna guzów tkanek miękkich ręki

Authors
Content
Title variants
EN
Ultrasound of soft tissue masses of the hand
Languages of publication
EN
Abstracts
EN
Most soft tissue mass lesions of the hand are benign. Ganglia are the commonest lesions
encountered, followed by giant cell tumors of the tendon sheath. Malignant tumors are
rare. Often a specific diagnosis can be achieved on imaging by considering the location
and anatomical relations of the lesion within the hand or wrist, and assessing its morphology.
Magnetic resonance imaging is an excellent modality for evaluating soft tissue
tumors with its multiplanar capability and ability to characterize tissue. Ultrasound plays
a complementary role to MRI. It is often the initial modality used for assessing masses as
it is cheap and available, and allows reliable differentiation of cystic from solid lesions,
along with a real time assessment of vascularity. This review describes the US appearances
of the most frequently encountered soft tissue masses of the wrist and hand, correlating
the findings with MRI where appropriate.
PL
Większość guzów tkanek miękkich ręki ma łagodny charakter. Do najczęstszych należą
gangliony oraz guzy olbrzymiokomórkowe pochewki ścięgnistej. Zmiany złośliwe występują
rzadko. W wielu przypadkach ustalenie rozpoznania jest możliwe w badaniach
obrazowych na podstawie oceny lokalizacji i morfologii zmian oraz stosunków anatomicznych
w obrębie ręki. Rezonans magnetyczny jest doskonałą metodą oceny guzów
tkanek miękkich dzięki możliwości wielopłaszczyznowego obrazowania oraz określenia
charakteru tkanek. Ultrasonografia stanowi uzupełnienie badania techniką rezonansu
magnetycznego. Często jest badaniem pierwszego wyboru z uwagi na niższy koszt i większą
dostępność w porównaniu z rezonansem magnetycznym. Pozwala na wiarygodne
odróżnienie przestrzeni płynowych od zmian litych oraz na ocenę unaczynienia zmian.
Niniejszy artykuł przedstawia obrazy ultrasonograficzne najczęstszych zmian guzowatych
tkanek miękkich ręki w korelacji z obrazami rezonansu magnetycznego.
Discipline
Year
Volume
12
Issue
51
Pages
381–401
Physical description
References
  • 1. Johnson J, Kilgore E, Newmeyer W: Tumorous lesions of the hand. J Hand Surg Am 1985; 10: 284–286.
  • 2. Capelastegui A, Astigarraga E, Fernandez‑Canton G, Saralegui I, Larena JA, Merino A: Masses and pseudomasses of the hand and wrist: MR findings in 134 cases. Skeletal Radiol 1999; 28: 498–507.
  • 3. Miller TT, Potter HG, McCormack RR Jr: Benign soft tissue masses of the wrist and hand: MRI appearances. Skeletal Radiol 1994; 23: 327–332.
  • 4. Binkovitz LA, Berquist TH, McLeod RA: Masses of the hand and wrist: detection and characterization with MR imaging. AJR Am J Roentgenol 1990; 154: 323–326.
  • 5. Teh J, Whiteley G: MRI of soft tissue masses of the hand and wrist. Br J Radiol 2007; 80: 47–63.
  • 6. Hoglund M, Muren C, Brattstrom G: A statistical model for ultrasound diagnosis of soft‑tissue tumours in the hand and forearm. Acta Radiol 1997; 38: 355–358.
  • 7. Teefey SA, Middleton WD, Boyer MI: Sonography of the hand and wrist. Semin Ultrasound CT MR 2000; 21: 192–204.
  • 8. Teh J: Applications of Doppler imaging in the musculoskeletal system. Curr Probl Diagn Radiol 2006; 35: 22–34.
  • 9. Klauser AS, Peetrons P: Developments in musculoskeletal ultrasound and clinical applications. Skeletal Radiol 2009.
  • 10. Teefey SA, Dahiya N, Middleton WD, Gelberman RH, Boyer MI: Ganglia of the hand and wrist: a sonographic analysis. AJR Am J Roentgenol 2008; 191: 716–720.
  • 11. Thornburg LE: Ganglions of the hand and wrist. J Am Acad Orthop Surg 1999; 7: 231–238.
  • 12. Murphey MD, Rhee JH, Lewis RB, Fanburg‑Smith JC, Flemming DJ, Walker EA: Pigmented villonodular synovitis: radiologic‑pathologic correlation. Radiographics 2008; 28: 1493–1518.
  • 13. Middleton WD, Patel V, Teefey SA, Boyer MI: Giant cell tumors of the tendon sheath: analysis of sonographic findings. AJR Am J Roentgenol 2004; 183: 337–339.
  • 14. Yacoe ME, Bergman AG, Ladd AL, Hellman BH: Dupuytren’s contracture: MR imaging findings and correlation between MR signal intensity and cellularity of lesions. AJR Am J Roentgenol 1993; 160: 813–817.
  • 15. Créteur V, Madani A, Gosset N: [Ultrasound imaging of Dupuytren’s contracture]. J Radiol 2010; 91: 687–691.
  • 16. Quinn SF, Erickson SJ, Dee PM, Walling A, Hackbarth DA, Knudson GJ et al.: MR imaging in fibromatosis: results in 26 patients with pathologic correlation. AJR Am J Roentgenol 1991; 156: 539–542.
  • 17. Horcajadas AB, Lafuente JL, de la Cruz Burgos R, Muñiz SH, Roca SA, Ortega SG et al.: Ultrasound and MR findings in tumor and tumor‑like lesions of the fingers. Eur Radiol 2003; 13: 672–685.
  • 18. Kransdorf MJ: Benign soft‑tissue tumors in a large referral population: distribution of specific diagnoses by age, sex, and location. AJR Am J Roentgenol 1995; 164: 395–402.
  • 19. Kransdorf MJ, Murphey MD: MR imaging of musculoskeletal tumors of the hand and wrist. Magn Reson Imaging Clin N Am 1995; 3: 327–344.
  • 20. Inampudi P, Jacobson JA, Fessell DP, Carlos RC, Patel SV, Delaney‑Sathy L et al.: Soft‑tissue lipomas: accuracy of sonography in diagnosis with pathologic correlation. Radiology 2004; 233: 763–767.
  • 21. Laorr A, Greenspan A: Hand lipomas: detection and characterization by magnetic resonance imaging. Can Assoc Radiol J 1993; 44: 14–18.
  • 22. Marom EM, Helms CA: Fibrolipomatous hamartoma: pathognomonic on MR imaging. Skeletal Radiol 1999; 28: 260–264.
  • 23. Mulliken JB, Glowacki J: Classification of pediatric vascular lesions. Plast Reconstr Surg 1982; 70: 120–121.
  • 24. Fishman SJ, Mulliken JB: Hemangiomas and vascular malformations of infancy and childhood. Pediatr Clin North Am 1993; 40: 1177–1200.
  • 25. Robertson RL, Robson CD, Barnes PD, Burrows PE: Head and neck vascular anomalies of childhood. Neuroimaging Clin N Am 1999; 9: 115–132.
  • 26. Murphey MD, Smith WS, Smith SE, Kransdorf MJ, Temple HT: From the archives of the AFIP. Imaging of musculoskeletal neurogenic tumors: radiologic‑pathologic correlation. Radiographics 1999; 19: 1253–1280.
  • 27. Abreu E, Aubert S, Wavreille G, Gheno R, Canella C, Cotten A: Peripheral tumor and tumor‑like neurogenic lesions. Eur J Radiol 2011.
  • 28. Glazebrook KN, Laundre BJ, Schiefer TK, Inwards CY: Imaging features of glomus tumors. Skeletal Radiol 2011; 40: 855–862.
  • 29. Nakajima H, Matsushita K, Shimizu H, Isomi T, Nakano Y, Saito M et al.: Synovial sarcoma of the hand. Skeletal Radiol 1997; 26: 674–676.
  • 30. Widmann G, Riedl A, Schoepf D, Glodny B, Peer S, Gruber H: State‑of‑the‑art HR‑US imaging findings of the most frequent musculoskeletal soft‑tissue tumors. Skeletal Radiol 2009; 38: 637–649.
  • 31. Griffith JF, Chan DP, Kumta SM, Chow LT, Ahuja AT: Does Doppler analysis of musculoskeletal soft‑tissue tumours help predict tumour malignancy? Clin Radiol 2004; 59: 369–375.
  • 32. Timins ME: Muscular anatomic variants of the wrist and hand: findings on MR imaging. AJR Am J Roentgenol 1999; 172: 1397–1401.
  • 33. Harvie P, Patel N, Ostlere SJ: Prevalence and epidemiological variation of anomalous muscles at Guyon’s canal. J Hand Surg Br 2004; 29: 26–29.
  • 34. Chau CL, Griffith JF: Musculoskeletal infections: ultrasound appearances. Clin Radiol 2005; 60: 149–159.
Document Type
article
Publication order reference
YADDA identifier
bwmeta1.element.psjd-5c0832b7-aaae-486c-9add-a8874d6d4c4f
Identifiers
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