Imaging of Soft Tissue Tumors by Filip M. Vanhoenacker, Arthur M. de Schepper, Paul M.

By Filip M. Vanhoenacker, Arthur M. de Schepper, Paul M. Parizel, Jan L.M.A. Gielen

This richly illustrated booklet, in an commonly revised new version, presents a accomplished survey of the position of scientific imaging experiences within the detection, staging, grading, tissue characterization, and post-treatment follow-up of sentimental tissue tumors. the indicators for and relative advantages of varied imaging modalities are absolutely defined, with specific emphasis at the function of complex MRI options which can enhance diagnostic accuracy and assessment of remedy reaction. the newest model of the WHO type of soppy Tissue Tumors is brought, and person chapters are dedicated to imaging of every of the tumor teams in that class in addition to different gentle tissue plenty. various new illustrations of either universal and infrequent tumors are integrated, delivering a wealthy pictorial database of soppy tissue lots. moreover, imaging findings are correlated with scientific, epidemiologic, and histologic info. Imaging of soppy Tissue Tumors can be of worth in day-by-day perform not just for radiologists but in addition for orthopedic surgeons, oncologists, and pathologists.

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35 sified based on the mechanisms through which the mineralization occurs: metastatic or dystrophic calcification or ectopic ossification. Underlying mechanisms have been extensively studied, which resulted in several hypotheses regarding the etiology of mineralization in the extracellular matrix of soft tissue. These hypotheses include intracellular and extracellular mechanisms, such as the formation of matrix vesicles, aberrant osteogenic and chondrogenic signaling, apoptosis, and oxidative stress.

28 Pilomatricoma in a 74-year-old female patient. Painless firm mass at the right lower leg. (a) US examination reveals nonhomogeneous oval mass lesion superficially at the subcutaneous tissue abutting the dermis, acoustic retro-enhancement, hyperreflective internal structure (hair). (b) CDUS examination reveals minor intralesional vascular signal J. Gielen et al. 30 Fig. 29 Pilomatricoma in a 53-year-old male patient at the occipital neck area. 5 mm in size, nonhomogeneous hyporeflective rim with intralesional reflective dots, global retroacoustic enhancement.

A) US (longitudinal and transverse view) at the medial aspect of the first metatarsal demonstrates homogeneous and (left image) elongated mass with the absence 27 tion cannot always be demonstrated in a small cyst [30]. 26). The ganglion cyst wall is composed of compressed collagen fibers with flattened cells without evidence of an epithelial or synovial lining. The wall is usually thin and regular. In recurrent or long-standing lesions, a thicker wall and intraluminal echoes, thought to be caused by some degree of organization of the cystic fluid or particulate cholesterol crystals, can be visualized [120, 132].

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