Soft-tissue sarcoma in adults: Imaging appearances, pitfalls and diagnostic algorithms

被引:19
作者
Crombe, Amandine [1 ,2 ,3 ,4 ,8 ]
Kind, Michele [2 ]
Fadli, David [1 ]
Miceli, Marco [5 ]
Linck, Pierre-Antoine [2 ]
Bianchi, Giuseppe [6 ]
Sambri, Andrea [7 ]
Spinnato, Paolo [5 ]
机构
[1] Pellegrin Univ Hosp, Dept Musculoskeletal Imaging, F-33076 Bordeaux, France
[2] Reg Comprehens Canc Nouvelle Aquitaine, Inst Bergonie, Dept Diagnost & Intervent Oncol Imaging, F-33076 Bordeaux, France
[3] CNRS UMR 5251, Models Oncol MONC Team, INRIA Bordeaux Sud Ouest, F-33400 Talence, France
[4] Bordeaux Univ, F-33400 Talence, France
[5] IRCCS Ist Ortoped Rizzoli, Diagnost & Intervent Radiol, I-40136 Bologna, Italy
[6] IRCCS Ist Ortoped Rizzoli, Orthoped Musculoskeletal Oncol Unit, I-40136 Bologna, Italy
[7] IRCCS Azienda Osped Univ Bologna, Orthoped & Traumatol Dept, Via Massarenti 9, I-40138 Bologna, Italy
[8] Pellegrin Hosp, Dept Musculoskeletal Imaging, 2 Pl Amelie Raba Leon, F-33076 Bordeaux, France
关键词
Imaging -guided biopsy; Magnetic resonance imaging (MRI); Soft -tissue sarcomas; Soft -tissue tumors; Ultrasonography; CANCER-CENTERS-SARCOMA; CORE NEEDLE-BIOPSY; PROGNOSTIC-FACTORS; FRENCH-FEDERATION; PART SARCOMA; LOCAL RECURRENCE; TUMOR GRADE; FOLLOW-UP; SURVIVAL; BONE;
D O I
10.1016/j.diii.2022.12.001
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
This article provides an overview of the current knowledge regarding diagnostic imaging of patients with soft-tissue sarcomas, which is a heterogeneous group of rare mesenchymal malignancies. After an initial contextualization, diagnostic flow-chart based on initial radiological findings of soft-tissue masses (with specific focus on adipocytic soft-tissue tumors [STTs], hemorragic STTs and retroperitoneal STTs) are provided considering relevant results from novel researches, guidelines, and experts' viewpoints, with the aim to help radiologists and clinicians in their practice. Particularly, the central place of sarcoma reference centers in the diagnostic and therapeutic management is highlighted, as well as the pivotal role that radiologists should play to correctly identify patients with soft-tissue sarcoma at the initial stage of the disease. Indications and methods for performing imaging-guided biopsies are also discussed, as well as clues to improve soft-tissue sarcoma grading with conventional and quantitative imaging.(c) 2022 Societe francaise de radiologie. Published by Elsevier Masson SAS. All rights reserved.
引用
收藏
页码:207 / 220
页数:14
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