Tumors and pseudotumors of the soft tissues: Imaging semiology and strategy.

Fiche publication


Date publication

janvier 2021

Journal

Journal of clinical imaging science

Auteurs

Membres identifiés du Cancéropôle Est :
Dr CHAIGNEAU Loïc


Tous les auteurs :
Paixao C, Lustig JP, Causeret S, Chaigneau L, Danner A, Aubry S

Résumé

The aims of this educational review are to learn the semiological basis of soft-tissue lesions and, with the help of diagnostic algorithms, to apply the current recommendations for the management of soft-tissue tumors. Pseudotumors must first be identified and excluded. Among primary tumors, the search for macroscopic fat content on MRI is decisive; since it restricts the diagnostic range to adipocytic tumors. Key imaging features of non-adipocytic tumors are highlighted. When a deep soft-tissue mass is found, therapeutic abstention or simple monitoring is only appropriate when there is diagnostic certainty: This is only the case for typical pseudotumors, typical benign tumors, and fat tumors without atypical criteria. In all other cases, histological evidence is required. If there is any suspicion of soft-tissue sarcoma or any undetermined lesion, the patient should be referred to a sarcoma referral center before biopsy.

Mots clés

Adipocytic tumor, Lipoma, Liposarcoma, Non-adipocytic tumor, Soft-tissue sarcoma

Référence

J Clin Imaging Sci. 2021 ;11:13