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2012 | 12 | 51 | 381–401
Article title

Ocena ultrasonograficzna guzów tkanek miękkich ręki

Title variants
Ultrasound of soft tissue masses of the hand
Languages of publication
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.
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.
Physical description
  • Radiology Department, Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Trust, Oxford, United Kingdom
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Document Type
Publication order reference
YADDA identifier
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