Multipametric Ultrasonographic Diagnostics of Extraorganic Soft Tissue Tumors Containing Adipose Tissue
A. N. Zaitsev,
A. V. Chernaya,
R. H. Ulyanova,
V. V. Grizunov,
S. S. Bagnenko,
Ju. F. Negustorov,
V. Ju. Halturin,
G. V. Zinovev,
T. L. Dyshlyuk,
A. V. Mishchenko,
I. E. Meshkova https://doi.org/10.37174/2587-7593-2022-5-4-31-42
Abstract
Purpose: To develop algorithms for echographic differential diagnosis of soft tissue tumors containing fat tissue, the data of the complex examination were analyzed, including using various ultrasound techniques, including different types of dopplerography and compression elastography.
Material and methods: Echographic studies of verified histologically 221 (63 %) lipomas, 87 (24.8 %) liposarcoma, 43 (12.2 %) hemangioma and lymphangosis of different superficial localizations were performed on Hitachi HI Vision 900, Logiq-400, Aloka-650, Aloka-2000 with 5–13 MHz sensors.
Results: It has been established that ultrasonic elastography in a number of clinical situations can be a significant addition in the differentiation of lipomas and highly differentiated liposarcoma, as well as in determining the boundaries of diffuse tumors from adipose tissue. Diagnostic algorithms for differentiating tumors have been proposed.
Conclusions: Differential diagnosis of fat-containing soft tissue formations is very complex and requires a multiparametric approach in ultrasound diagnostics.
About the Authors
A. N. Zaitsev
N. N. Petrov National Medical Research Oncology Center
Russian Federation
Competing Interests:
Russian Federation
197758, Saint Petersburg, Pesochny settlment, Leningradskaya str., 68
Competing Interests:
Not declared.
A. V. Chernaya
N. N. Petrov National Medical Research Oncology Center
Russian Federation
Competing Interests:
Russian Federation
197758, Saint Petersburg, Pesochny settlment, Leningradskaya str., 68
Competing Interests:
Not declared.
R. H. Ulyanova
Saint-Petersburg State University, Saint-Petersburg
Russian Federation
Competing Interests:
Russian Federation
199034, Saint Petersburg, Universitskaya Naberezhnaya, 7-9
Competing Interests:
Not declared.
V. V. Grizunov
I.P. Pavlov First Saint Petersburg State Medical University
Russian Federation
Competing Interests:
Russian Federation
197022, Saint Petersburg, Lev Tolstoy str., 6-8
Competing Interests:
Not declared.
S. S. Bagnenko
N. N. Petrov National Medical Research Oncology Center
Russian Federation
Competing Interests:
Russian Federation
197758, Saint Petersburg, Pesochny settlment, Leningradskaya str., 68
Competing Interests:
Not declared.
Ju. F. Negustorov
N. N. Petrov National Medical Research Oncology Center
Russian Federation
Competing Interests:
Russian Federation
197758, Saint Petersburg, Pesochny settlment, Leningradskaya str., 68
Competing Interests:
Not declared.
V. Ju. Halturin
I.I. Mechnikov Northwestern State Medical University
Russian Federation
Competing Interests:
Russian Federation
191015, Saint Petersburg, Kirochnaya str., 41
Competing Interests:
Not declared.
G. V. Zinovev
N. N. Petrov National Medical Research Oncology Center
Russian Federation
Competing Interests:
Russian Federation
197758, Saint Petersburg, Pesochny settlment, Leningradskaya str., 68
Competing Interests:
Not declared.
T. L. Dyshlyuk
N. N. Petrov National Medical Research Oncology Center
Russian Federation
Competing Interests:
Russian Federation
197758, Saint Petersburg, Pesochny settlment, Leningradskaya str., 68
Competing Interests:
Not declared.
A. V. Mishchenko
N. N. Petrov National Medical Research Oncology Center; Saint-Petersburg State University, Saint-Petersburg
Russian Federation
Competing Interests:
Russian Federation
197758, Saint Petersburg, Pesochny settlment, Leningradskaya str., 68
199034, Saint Petersburg, Universitskaya Naberezhnaya, 7-9
Competing Interests:
Not declared.
I. E. Meshkova
N. N. Petrov National Medical Research Oncology Center
Russian Federation
Competing Interests:
Russian Federation
197758, Saint Petersburg, Pesochny settlment, Leningradskaya str., 68
Competing Interests:
Not declared.
References
1. Frolova IG, Kotova OV, Tyukalov YuI, et al. The potential value of ultrasound in diagnosis of soft tissue sarcomas (literature review). Siberian Journal of Oncology. 2015;(3):82-9. (In Russian).
2. Morii T, Kishino T, Shimamori N, et al. Preoperative Ultrasonographic Evaluation for Malignancy of Soft-Tissue Sarcoma: A Retrospective Study. Open Orthop J. 2018;(12):75-83. DOI:10.2174/1874325001812010075.
3. Rahmani G, McCarthy P, Bergin D. The diagnostic accuracy of ultrasonography for soft tissue lipomas: a systematic review. Acta Radiol Open. 2017;6(6):2058460117716704. DOI:10.1177/2058460117716704.
4. Sheybani EF, Eutsler EP, Navarro OM. Fat-containing soft-tissue masses in children. Pediatr Radiol. 2016;46(13):1760-73. DOI:10.1007/s00247-016-3690-z.
5. Stock N. Tumeurs adipeuses [Adipocytic tumors]. Ann Pathol. 2015;35(1):41-53. DOI:10.1016/j.annpat.2014.12.001.
6. Doherty JR, Trahey GE, Nightingale KR, et al. Acoustic radiation force elasticity imaging in diagnostic ultrasound. IEEE Trans Ultrason Ferroelectr Freq Control. 2013;60(4):685-701. DOI:10.1109/TUFFC.2013.2617.
7. Klauser AS, Miyamoto H, Bellmann-Weiler R, et. al. Sonoelastography: musculoskeletal applications. Radiology. 2014;272(3):622-33. DOI:10.1148/radiol.14121765.
8. Amato G, Romano G, Agrusa A, et al. Lipoma of the fossa femoralis mimicking a femoral hernia. Report of 2 cases. Int J Surg Case Rep. 2018;49:223-7. DOI:10.1016/j.ijscr.2018.07.009
9. Gruber L, Edlinger M, Gruber H, et al. Is Strain Elastography Really a Good Adjunct for Prediction of Malignancy in Soft Tissue Tumours? Ultraschall Med. 2015;36(6):637. DOI:10.1055/s-0041-107983.
10. Longo M, Bavcar S, Handel I, et al. Real-time elastosonography of lipomatous vs. malignant subcutaneous neoplasms in dogs: Preliminary results. Vet Radiol Ultrasound. 2018;59(2):198-202. DOI:10.1111/vru.12588.
11. Magarelli N, Carducci C, Bucalo C, et al. Sonoelastography for qualitative and quantitative evaluation of superficial soft tissue lesions: a feasibility study. Eur Radiol. 2014;24(3):566-73. DOI:10.1007/s00330-013-3069-6.
12. Morii T, Kishino T, Shimamori N, et al. Differential diagnosis between benign and malignant soft tissue tumors utilizing ultrasound parameters. J Med Ultrason. 2018;45(1):113-9. DOI:10.1007/s10396-017-0796-3.
13. Creytens DA. Сontemporary review of myxoid adipocytic tumors. Semin Diagn Pathol. 2019;36(2):129-41. DOI:10.1053/j.semdp.2019.02.008.
Review
For citations:
Zaitsev A.N., Chernaya A.V., Ulyanova R.H., Grizunov V.V., Bagnenko S.S., Negustorov J.F., Halturin V.J., Zinovev G.V., Dyshlyuk T.L., Mishchenko A.V., Meshkova I.E. Multipametric Ultrasonographic Diagnostics of Extraorganic Soft Tissue Tumors Containing Adipose Tissue. Journal of oncology: diagnostic radiology and radiotherapy. 2022;5(4):31-42. (In Russ.) https://doi.org/10.37174/2587-7593-2022-5-4-31-42
Views:
332
Email this article 