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KMID : 0613320040100020079
Journal of the Korean Bone and Joint Tumor Soceity
2004 Volume.10 No. 2 p.79 ~ p.87
Differentiation of Malignant from Benign Soft-Tissue Solid Tumors: Clinical and MR Finding Complex
Moon Tae-Yong

Kim Jeung-Il
Shin Su-Mi
Choo Hye-Jeung
Choi Hyun-Wook
Kim Soo-Jin
Abstract
Purpose: The recent development of MR has made to possible radiological diagnosis in various soft tssue tumors. But multifarious components within soft tissue tumors and their periodic change have made to difficult even differentiation of malignant from benign soft tissue tumors solely on the MR. So authors retry to differentiate malignant from benign soft tissue tumors with clinical and MR finding complex.

Materials and methods: We were analysed 82 pathologically confirmed soft tissue solid tumors (37 cases as malignancy including intermediate tumors and 45 cases as benign including inflammatory masses) which are correlated with clinical findings such as age, size, and location, MR findings such as tumor border, texture on T2 and contrast-T1 images, and enhancement area retrospectively. Many typical lipoma and cysts including of ganglion and abscess are rejected in the benign soft tissue tumor group because not difficult to diagnose on MR.

Results: Malignant soft tissue tumors were more frequent in 21~40 and 61~80 years old of the age, above 3.0 cm of the size, trunk-pelvis-lower extremities of the location, and MR findings with irregular border and above 50% of the enhancement area than those of benign soft tissue tumors.

Conclusion: The clinical finding that divided to two locations as trunk-pelvis-lower extremities and upper extremities-shoulder-spine was statistically significant to differentiate malignant from benign soft tissue solid tumors. However, the others would provide some useful informations to differentiate them never specific.
KEYWORD
Soft tissues, Neoplasms, Soft tissues, MR studies, Neoplasms, Diagnosis, Neoplasms, MR
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