Skip to main content
SpringerLink
Log in

Weichteiltumoren

Bildgebungsstrategie in der lokalen Primärdiagnostik – Erscheinungsbild, Pearls und Pitfalls in der MRT

  • Chapter
Weiterbildung Radiologie

  • 1572 Accesses

Zusammenfassung

Nur etwa 1% der Weichteiltumoren sind maligne. Durch Ultraschall können potenziell maligne Läsionen erkannt und der MRT zugeführt werden. Die Radiographie gibt wertvolle Zusatzinformationen. Die MRT ist bildgebender Referenzstandard bei Weichteiltumoren und dient auch dem lokalen Staging. In der MRT nicht klar benigne Läsionen sowie Tumoren, deren Therapie histologieabhängig ist, sollten biopsiert werden. Empfehlenswert ist die Überweisung an ein Referenzzentrum. Die Vielzahl der Weichteiltumorentitäten wird nach WHO klassifiziert (neueste Version 2013). Einige Tumoren zeigen charakteristische Lokalisationen und MR-Morphologie. Das Sarkom-Staging wird bildgebend durch die Größe und die Lage im Vergleich zur Oberflächenfaszie beeinflusst. Internationale Standards sind einzuhalten; entscheidend für die Patienten ist insbesondere die Betreuung durch ein erfahrenes interdisziplinäres Tumorteam.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 17.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Literatur

  1. National Cancer Institute (NCI) (2010) SEER Stat Fact Sheets: SoftTis- sue induding Heart Cancer, http://seer.cancer.gov/statfacts/html/soft.html

    Google Scholar 

  2. Kransdorf MJ, Murphey MD (2006) Imaging of SoftTissueTumors. Lippincott Williams & Wilkins, Philadelphia

    Google Scholar 

  3. Rydholm A (1983) Management of patients with soft-tissue tumors - strategy developed at a regional on- cology center. Acta Orthop Scand Suppl 203:13–77

    CAS  PubMed  Google Scholar 

  4. National Cancer Institute (NCI) (2014) General information about childhood soft tissue sarcoma. http://www.cancer.gov/cancertopics/pdq/treatment/child-soft-tissue-sarcoma/Patient/page1

  5. Van Dyck P, Gielen, Vanhoenacker FM et al (2006) General Imaging Strategy of SoftTissueTumors. In: Vanhoenacker FM, Schepper AM de (eds) Imaging of SoftTissueTumors, 3rd edn. Springer, Berlin Heidelberg New York, pp 163–166

    Google Scholar 

  6. NakamuraT, Matsumine A, Matsubara T etal (2011) The symptom-to- diagnosis delay in soft tissue sarcoma influence the overall survival and the development of distant metasta- sis. JSurgOncol 104:771–775

    Google Scholar 

  7. Lakkaraju A, Sinha R, Garikipati R et al (2009) Ultrasound for initial evaluation and triage of clinically suspi- cious soft-tissue masses. Clin Radiol 64:615–621

    Article  CAS  PubMed  Google Scholar 

  8. Zoga AC, Weissman BN, Kransdorf MJ et al (2012) ACR Appropriateness Criteria® soft-tissue masses. Guide- line summary NGC-9665. American College of Radiology (ACR), Reston. http://www.guideline.gov/content.aspx?id=43873

  9. European Society forSurgical Research (ESSR) (2014) Subcommittee for MSKtumours. http://www.essr.org/cms/website.php?id=/en/index/society/committees.htm

  10. American College of Radiolog (ACR)/ Society ofSkeletal Radiology (SSR) (2011) Practiceguidelineforthe performance and Interpretation of Ma- gnetic Resonance Imaging (MRI) of bone and softtissue tumors. http:// www.acr.org/~/media/F323813491C343A5A0650C0999BE0800.pdf

  11. Rijswijk CS van, Geirnaerdt MJ, Ho- gendoorn PC et al (2004) Soft-tissue tumors: value of static and dynamic gadopentetate dimeglumine-en- hanced MR imaging in prediction of malignancy. Radiology 233:493–502

    Article  PubMed  Google Scholar 

  12. Rijswijk CS van, Kunz P, Hogendoorn PC et al (2002) Diffusion-weighted MRI in the characterization of soft- tissue tumors. J Magn Reson Imaging 15:302–307

    Article  PubMed  Google Scholar 

  13. American College of Radiolog (ACR) (2006) ACR Appropriateness Criteria®: Soft-Tissue Masses, EvidenceTa- ble. http://www.acr.Org/~/media/555B50C23499439499E19790B4C9419A.pdf

  14. Papp DF, Khanna AJ, McCarthy EF et al (2007) Magnetic resonance imaging of soft-tissue tumors: determin- ate and indeterminate lesions. J Bone Joint Surg Am 89A:103–115

    Article  Google Scholar 

  15. Wu JS, Hochman MG (2009) Soft-tissue tumors andtumorlike lesions: a systematic imaging approach. Radiology 253:297–316

    Article  PubMed  Google Scholar 

  16. Kransdorf MJ, Bancroft LW, Peterson JJ etal (2002) Imaging offatty tumors: distinction of lipoma and well- differentiated liposarcoma. Radiology 224:99–104

    Article  PubMed  Google Scholar 

  17. Jelinek J, MalawerM, Sternheim Aet al (2009) Clinical presentation, out- come and MR findings of soft tissue tumors presenting as hematomas. Skeletal Radiol 38:399–400

    Article  Google Scholar 

  18. Leithner A, Windhager R (2007) Gui- delines for the biopsy of bone and softtissue tumours. Orthopäde 36:167–174

    Article  CAS  PubMed  Google Scholar 

  19. European Society for Medical On- cology (ESMO) (2012) Soft tissue and visceral sarcomas: ESMO clinical practice guidelines for diagnosis, treatment and follow-up. Ann Oncol 23(Suppl 7):vii92–vii99

    Google Scholar 

  20. Fletcher CDM, Unni KK, Mertens FE (2002) World Health Organization Classification ofTumours. Patholo- gy and Genetics ofTumours of Soft Tissue and Bone. IARC Press, Lyon. http://www.iarc.fr/en/publications/pdfs-online/pat-gen/bb5/BB5.pdf

  21. Fletcher CDM, Bridge JA, Hogendoorn P, Mertens F (2013) WHO Classification ofTumours of Soft Tissue and Bone,4th edn. WHO Press, Geneva

    Google Scholar 

  22. Myhre-Jensen O (1981) A consecut- ive7-yearseriesof 1331 benign soft tissue tumours. Clinicopathologic data. Comparison with sarcomas. Acta Orthop Scand 52:287–293

    Article  CAS  PubMed  Google Scholar 

  23. Datir A, James SL, Ali K et al (2008) MRI of soft-tissue masses: the relationship between lesion size, depth, and diagnosis. Clin Radiol 63:373–378

    Article  CAS  PubMed  Google Scholar 

  24. Dinauer PA, Brixey CJ, MoncurJT et al (2007) Pathologie and MR imaging features of benign fibrous softtissue tumors in adults. Radiogra- phics 27:173–187

    Google Scholar 

  25. Abreu E, Aubert S, Wavreille G et al (2007) Peripheral tumor and tumor- like neurogenic lesions. Eur J Radiol 82:38–50

    Article  Google Scholar 

  26. Moukaddam H, PollakJ, Haims AH (2009) MRI characteristics and Classification of peripheral vascular malformations and tumors. Skeletal Radiol 38:535–547

    Article  PubMed  Google Scholar 

  27. Sheldon PJ, Forrester DM, Learch TJ (2005) Imaging of intraarticular masses. Radiographics 25:105–119

    Article  PubMed  Google Scholar 

  28. Nagamine N, NoharaY, Ito E (1982) Elastofibroma in Okinawa - a clinicopathologic study of 170 cases. Cancer 50:1794–1805

    Article  CAS  PubMed  Google Scholar 

  29. Murphey MD, Gibson MS, Jennings BT et al (2006) From the archives of the AFIP: imaging of synovial sarco- ma with radiologic-pathologic corre- lation. Radiographics 26:1543–1565

    Article  PubMed  Google Scholar 

  30. Pope TL, Bloem HL, Beltran J et al (2008) SoftTissueTumors. In: Imaging of the Musculoskeletal System, 1stedn. Saunders/Elsevier, Philadelphia

    Google Scholar 

  31. Breitenseher M, Nöbauer-Huhmann IM (2008) Bildgebende Diagnostik von Weichteiltumoren. In: Breitenseher M, Dominkus M, Amann G (Hrsg) Bildgebende DiagnostikundThera- pie der Weichteiltumoren. Thieme, Stuttgart, S 72–131

    Google Scholar 

  32. DeSchepper AM, Ramon FA, Degryse HR (1992) Magnetic resonance imaging of soft tissue tumors. J Beige Radiol 75:286–296

    CAS  Google Scholar 

  33. AJCC (2014) How are soft tissue sarcomas staged? http://www.cancer.org/cancer/sarcoma-adultsofttis-suecancer/detailedguide/sarcoma-adult-soft-tissue-cancer-staging

Download references

Author information

Authors and Affiliations

  1. Abteilung für Neuroradiologie und Muskuloskeletale Radiologie, Universitätsklinik für Radiologie und Nuklearmedizin, Wien

    I.-M. Nöbauer-Huhmann

Authors
  1. I.-M. Nöbauer-Huhmann
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Institut für Radiologie, Deutsches Krebsforschungszentrum (DKFZ), Heidelberg

    Stefan Delorme

  2. Zentralinstitut für Bildgebende Diagnostik, Karlsruhe

    Peter Reimer

  3. Klinik für Diagnostische und Interventionelle Neuroradiologie, Universitätsklinikum des Saarlandes, Homburg

    Wolfgang Reith

  4. KW Hilversum, The Netherlands

    Cornelia Schäfer-Prokop

  5. Klinik für Radiodiagnostik, AKH, Wien

    Claudia Schüller-Weidekamm

  6. Kinderklinik, Universitätsklinikum Freiburg, Freiburg

    Markus Uhl

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Nöbauer-Huhmann, IM. (2015). Weichteiltumoren. In: Delorme, S., Reimer, P., Reith, W., Schäfer-Prokop, C., Schüller-Weidekamm, C., Uhl, M. (eds) Weiterbildung Radiologie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46785-5_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-46785-5_14

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-46784-8

  • Online ISBN: 978-3-662-46785-5

  • eBook Packages: Medicine (German Language)

Publish with us

Policies and ethics

Search

Navigation