The value of fat-suppressed T2 or STIR sequences in distinguishing lipoma from well-differentiated liposarcoma View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2002-07-24

AUTHORS

J. Galant, L. Martí-Bonmatí, F. Sáez, R. Soler, R. Alcalá-Santaella, M. Navarro

ABSTRACT

. The objective of this study was to evaluate the diagnostic value of fat-suppressed T2-weighted (FS-T2) images or short tau inversion recovery (STIR) imaging in distinguishing lipoma from lipoma-like subtype of well-differentiated liposarcoma. Spin-echo T1-weighted and STIR or fat-suppression T2-weighted sequences were performed in 60 lipomas and 32 lipoma-like well-differentiated liposarcomas, histologically proven, looking for thick septa or nodules in T1-weighted images and linear, nodular, or amorphous hyperintensities on FS-T2/STIR sequences. Fourteen lipomas (23.3%) showed thick septa and/or nodules on T1, whereas on FS-T2 or STIR sequences only seven (11.7%) displayed hyperintense nodules and/or septa. All well-differentiated liposarcomas contained these signs on FS-T2 or STIR sequences. The presence of hyperintense septa or nodules in a predominantly lipomatous tumor on FS-T2/STIR sequences helps to differentiate malignant tumors from lipomas. Employing the presence of hyperintense nodules and/or septa as criteria of malignancy specificity was 76.6% and sensitivity 100%. Overdiagnoses of well-differentiated liposarcoma can occur due to the presence of non-lipomatous areas within lipomas. More... »

PAGES

337-343

References to SciGraph publications

  • 2001. Lipomatous Tumors in IMAGING OF SOFT TISSUE TUMORS
  • 2001-10. Distinction of well-differentiated liposarcoma from lipoma in two patients with multiple well-differentiated fatty masses in SKELETAL RADIOLOGY
  • 1997-03-01. Septum-like structures in lipoma and liposarcoma: MR imaging and pathologic correlation in SKELETAL RADIOLOGY
  • 1962-07. Liposarcoma in VIRCHOWS ARCHIV A PATHOLOGICAL ANATOMY AND HISTOPATHOLOGY
  • 1988-10. Imaging of atypical lipomas of the extremities: Report of three cases in SKELETAL RADIOLOGY
  • Identifiers

    URI

    http://scigraph.springernature.com/pub.10.1007/s00330-002-1463-6

    DOI

    http://dx.doi.org/10.1007/s00330-002-1463-6

    DIMENSIONS

    https://app.dimensions.ai/details/publication/pub.1075241404

    PUBMED

    https://www.ncbi.nlm.nih.gov/pubmed/12598999


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