RadioGraphics编译——胸壁原发肿瘤：影像病理对照

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Imaging of Primary Chest Wall Tumors with Radiologic-Pathologic Correlation 

RadioGraphics, May 2011, Vol. 31:749–770

Imaging of Primary Chest Wall Tumors with Radiologic-Pathologic Correlation

Se Jin Nam, MD, Sungjun Kim, MD, Beom Jin Lim, MD, Choon-Sik Yoon, MD, Tae Hoon Kim, MD, Jin-Suck Suh, MD, Doo Hoe Ha, MD,Jong Won Kwon, MD, Young Cheol Yoon, MD, Hye Won Chung, MD, Mi Sook Sung, MD, Yun Sun Choi, MD, and Jang Gyu Cha, MD
From the Departments of Radiology (S.J.N., S.K., C.S.Y., T.H.K.) and Pathology (B.J.L.), Gangnam Severance Hospital, Yonsei University, 146-92 Dogok-Dong, Gangnam-Gu, Seoul 135-720, Republic of Korea; Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University, Seoul, Republic of Korea (J.S.S.); Department of Radiology, CHA Bundang Medical Center, CHA University, Seongnam, Gyeonggi-do, Republic of Korea (D.H.H.); Department of Radiology and Center for Imaging Science, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea (J.W.K., Y.C.Y.); Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Republic of Korea (H.W.C.); Department of Radiology, Bucheon St Mary Hospital, The Catholic University of Korea, Bucheon, Gyeonggi-do, Republic of Korea (M.S.S.); Department of Radiology, Eulji Hospital, Eulji University School of Medicine, Seoul, Republic of Korea (Y.S.C.); and Department of Radiology, Bucheon Hospital, Soonchunhyang University, Bucheon, Gyeonggi-do, Republic of Korea (J.G.C.).
Address correspondence to S.K. (e-mail: [e-mail]).

DOI: http://dx./10.1148/rg.313105509

Received: February 02, 2010

Accepted: August 03, 2010

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Neoplasms and tumorlike lesions that originate from chest wall tissues are uncommon compared with tumors in other parts of the body, and unfamiliarity with these disease entities can cause diagnostic difficulties for radiologists. Furthermore, the imaging features of many of these tumors are nonspecific, particularly those that are locally aggressive. However, a systematic approach based on patient age, clinical history, lesion location, and characteristic imaging findings often helps limit the differential diagnosis. Primary chest wall tumors can be classified as bone or soft-tissue tumors, with the latter being further classified into adipocytic tumors, vascular tumors, peripheral nerve sheath tumors, cutaneous lesions, fibroblastic-myofibroblastic tumors, and so-called fibrohistiocytic tumors, largely based on the 2002 World Health Organization classification. Within each category, it is possible to further limit the differential diagnosis with cross-sectional imaging. Information on specific features (eg, mineralization, fibrosis, hemosiderin deposits) and imaging patterns (eg, the “target sign” and “fascicular sign” seen in neurogenic tumors) can aid in making the diagnosis. Radiologists can achieve a sufficiently specific diagnosis of bone tumors and soft-tissue tumors if typical findings are present.

RSNA, 2011