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Radiologie up2date 2004; 4(4): 375-390
DOI: 10.1055/s-2004-826180
Muskuloskelettale Erkrankungen
© Georg Thieme Verlag KG Stuttgart · New York

MRT bei Weichteiltumoren

MRI in Soft Tissue TumorsK.  Wörtler1
  • 1Institut für Röntgendiagnostik der Technischen Universität München
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Publication History

Publication Date:
13 January 2005 (online)

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Zusammenfassung

Benigne Weichteiltumoren, Weichteilsarkome und tumorähnliche Läsionen der Weichteile sind zusammen relativ häufig und stellen aufgrund der enormen Vielzahl pathologischer Entitäten ein diagnostisches Problem dar. Das klinische Management von Patienten mit unklaren Weichteilläsionen macht eine enge Kooperation zwischen Radiologen, Pathologen und Orthopäden bzw. Chirurgen erforderlich, um Diagnose und Therapie im Rahmen eines zielgerichteten Gesamtkonzepts erarbeiten zu können.

Dieser Artikel gibt eine Übersicht über die Rolle der Magnetresonanztomographie (MRT) in der Diagnostik von Weichteiltumoren unter Berücksichtigung der Differenzialdiagnose benigner und maligner Läsionen, spezifischer Diagnosen und Fehlerquellen, des lokalen Stagings von Weichteilsarkomen und der postoperativen Verlaufsbeobachtung.

Abstract

Benign soft tissue tumors, soft tissue sarcomas and tumor-like lesions of the soft tissues are relatively common if taken together and represent a diagnostic problem due to the enormous number of pathologic entities. The clinical management of patients with suspected soft tissue lesions necessitates close cooperation between radiologists, pathologists, and orthopaedic surgeons to coordinate the diagnosis and therapy within the framework of a dedicated common concept.

This article reviews the role of MRI in the diagnosis of soft tissue tumors including the differential diagnosis of benign and malignant lesions, specific diagnoses and pitfalls, local staging of soft tissue sarcomas and postoperative follow-up.

Key words

Soft tissues, neoplasms - Neoplasms, musculoskeletal - Muscles, neoplasms - Sarcoma - Soft tissues, MRI - Magnetic resonance imaging (MRI), tissue characterization

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Priv.-Doz. Dr. med. Klaus Wörtler

Institut für Röntgendiagnostik, Technische Universität München, Klinikum rechts der Isar

Ismaninger Strasse 22 · 81675 München

Phone: +49(0)089 4140 2696

Fax: +49(0)89 4140 4834

Email: woertler@roe.med.tu-muenchen.de

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