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目的提高对婴幼儿骶尾部血管外皮肉瘤CT表现的认识。方法报告4例经手术病理证实的婴幼儿骶尾部血管外皮肉瘤CT表现。结果4例CT分别表现骶尾部、盆腔巨大软组织密度块影,病灶密度均匀,无钙化。CT值在34～42HU之间,边缘不规则,骶骨有骨质破坏,盆腔组织器官受推压向外移位,瘤体最大直径均>5cm。结论婴幼儿骶尾部巨大软组织密度块影,病灶密度均匀,边缘不规则,有骨质破坏,应考虑本病。
Objective To improve the understanding of the CT manifestations of infantile sacrococcygeal sarcoma. Methods Four CT images of sacrococcygeal vascular sarcoma in infants and young children confirmed by surgery and pathology were reported. Results Four cases of CT showed sacrococcygeal, pelvic soft tissue mass shadow block, the lesions were uniform density, no calcification. CT value between 34 ~ 42HU, irregular edges, sacral bone destruction, pelvic organs pushed out by the push, the maximum diameter of the tumor were> 5cm. Conclusion Infant sacrococcygeal giant soft tissue mass shadow, uniform density of lesions, irregular edges, there is bone destruction, should consider the disease.