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    医学影像学贯穿于骨肿瘤诊断和分期、治疗效果评估和患者预后管理等环节分。本书旨在为放射科医生、骨科医生和病理科医生提供骨肿瘤影像学表现特点及其影像分析方法，揭示组织病理学基础。

    本书详细叙述了骨肿瘤的诊断依据、骨肿瘤的典型和不典型影像学表现，并针对临床实践中病例分析诊断的问题，结合X线和MRI的征象及病变部位分析，给出了18种骨肿瘤的诊断技巧。

    希望本书能够帮助读者全面理解骨肿瘤和肿瘤样病变的影像学表现，运用分析技巧，在临床实践中做出精确诊断。

第一部分　概论
第1章　基本概述和诊断依据............................................ 002
1.1　流行病学.......................................................002
1.2　病变部位.......................................................003
1.3　生物学行为（骨破坏方式）.......................................006
1.4　病变透光度和基质矿化...........................................006
1.5　骨膜反应和骨内膜反应...........................................010
1.6　病变数目.......................................................012
推荐文献............................................................012

第二部分　肿瘤分类和影像学特征
第2章　成骨类肿瘤......................................................014
2.1　骨瘤............................................................014
2.2　骨岛............................................................016
2.3　骨样骨瘤........................................................023
2.4　骨母细胞瘤......................................................029
2.5　骨肉瘤..........................................................030
推荐文献.............................................................060

第3章　软骨类肿瘤......................................................064
3.1　骨软骨瘤........................................................064
3.2　内生软骨瘤......................................................069
3.3　骨膜软骨瘤（皮质旁软骨瘤）..................................... 073
3.4　软骨黏液纤维瘤..................................................076
3.5　甲下外生骨疣....................................................079
3.6　奇异性骨旁骨软骨瘤样增生........................................081
3.7　软骨母细胞瘤....................................................085
3.8　软骨肉瘤........................................................091
推荐文献.............................................................106

第4章　纤维类和纤维组织细胞类肿瘤......................................110
4.1　骨韧带样纤维瘤..................................................110
4.2　骨纤维肉瘤......................................................114
4.3　非骨化性纤维瘤/纤维性皮质缺损...................................116
4.4　骨良性纤维组织细胞瘤............................................121
推荐文献.............................................................123

第5章　富含破骨样巨细胞肿瘤............................................125
5.1　小骨巨细胞病变..................................................125
5.2　骨巨细胞瘤......................................................126
推荐文献.............................................................139

第6章　造血组织肿瘤和小圆细胞性肿瘤....................................140
6.1　浆细胞性骨髓瘤/孤立性浆细胞瘤...................................140
6.2　骨淋巴瘤........................................................147
6.3　尤文肉瘤........................................................152
推荐文献.............................................................158

第7章　血管性肿瘤......................................................160
7.1　血管瘤..........................................................160
7.2　血管肉瘤........................................................163
7.3　上皮样血管内皮细胞瘤............................................166
推荐文献.............................................................169

第8章　其他肿瘤样病变和软组织型肿瘤....................................171
8.1　单纯性骨囊肿....................................................171
8.2　动脉瘤样骨囊肿..................................................175
8.3　纤维结构不良................................................... 180
8.4　骨纤维结构不良..................................................185
8.5　朗格汉斯细胞组织细胞增生症......................................191
8.6　骨内脂肪瘤......................................................198
8.7　骨脂肪硬化性黏液纤维性肿瘤......................................201
8.8　造釉细胞瘤......................................................205
8.9　棕色瘤..........................................................210
推荐文献.............................................................212

第9章　肿瘤相关综合征..................................................216
9.1　内生软骨瘤病：Ollier病和Maffucci综合征..........................216
9.2　多发性骨软骨瘤..................................................223
9.3　McCune-Albright综合征...........................................225
9.4　Mazabraud综合征.................................................226
9.5　Jaffe-Campanacci综合征..........................................227
推荐文献.............................................................228

第三部分　骨肿瘤影像诊断技巧
第10章　X线征象........................................................232
10.1　骨髓腔内硬化性病变.............................................232
10.2　骨表面的成骨性病变.............................................236
10.3　地图状溶骨性病变：有硬化边缘、病变内无基质.....................237
10.4　地图状溶骨性病变：无硬化边缘、病变内无基质.....................239
10.5　膨胀性溶骨性病变：假骨小梁形成（皂泡样改变）...................241
10.6　侵蚀性溶骨性病变：虫蚀样/渗透性骨质破坏........................243
10.7　溶骨和骨硬化混合性病变.........................................244
10.8　软骨样基质.....................................................245
10.9　骨样基质.......................................................246
10.10　有蒂或无蒂的骨性赘生物........................................248
10.11　骨皮质旁的病变................................................249
参考文献.............................................................251

第11章　MRI征象........................................................255
11.1　病变内特征.......................................................255
11.2　辅助征象.......................................................260
11.3　“难以捉摸”的病变.............................................263
参考文献.............................................................266

第四部分　练习和实践：影像判读会话
第12章　病例分析.......................................................272
答案................................................................ 314
附录　英文缩写词中文对照...............................................321