The Role of Ultrasound in the Diagnosis of Soft Tissue Tumors

Maria Pilar Aparisi Gómez; Costantino Errani; Radhesh Lalam; Violeta Vasilevska Nikodinovska; Stefano Fanti; Alberto Stefano Tagliafico; Luca Maria Sconfienza; Alberto Bazzocchi

doi:10.1055/s-0039-3402060

Seminars in Musculoskeletal Radiology, Inhaltsverzeichnis

Semin Musculoskelet Radiol 2020; 24(02): 135-155
DOI: 10.1055/s-0039-3402060

Review Article

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

The Role of Ultrasound in the Diagnosis of Soft Tissue Tumors

Maria Pilar Aparisi Gómez

¹Department of Radiology, Auckland City Hospital, Auckland, New Zealand

²Department of Radiology, Hospital Nueve de Octubre, Valencia, Spain

,

Costantino Errani

³Department of Orthopaedic Oncology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

,

Radhesh Lalam

⁴Department of Radiology, Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust, Oswestry, United Kingdom

,

Violeta Vasilevska Nikodinovska

⁵Medical Faculty, University “Ss. Cyril and Methodius,” University Surgical Clinic “St. Naum Ohridski,” Skopje, North Macedonia

,

Stefano Fanti

⁶Department of Experimental, Diagnostic and Specialty Medicine, University of Bologna, Sant'Orsola-Malpighi Hospital, Bologna, Italy

,

Alberto Stefano Tagliafico

⁷Ospedale Policlinico San Martino, Genoa, Italy

⁸Department of Health Sciences, University of Genoa, Genoa, Italy

,

Luca Maria Sconfienza

⁹IRCCS Istituto Ortopedico Galeazzi, Unità Operativa di Radiologia Diagnostica ed Interventistica, Milan, Italy

¹⁰Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan, Italy

,

Alberto Bazzocchi

¹¹Diagnostic and Interventional Radiology, IRCCS Istituto Ortopedico Rizzoli, Bologna, Italy

› Institutsangaben

Abstract

The vast majority of soft tissue masses are benign. Benign lesions such as superficial lipomas and ganglia are by far the most common soft tissue masses and can be readily identified and excluded on ultrasound (US). US is an ideal triaging tool for superficial soft tissue masses. Compared with magnetic resonance imaging (MRI), High-resolution US is inexpensive, readily available, well tolerated, and safe. It also allows the radiologist to interact with the patient as a clinician. In this review, we describe and illustrate the lesions with typical (diagnostic) US features. When the appearances of the lesion are not typical as expected for a benign lesion, lesions are deep or large, or malignancy is suspected clinically, MRI and biopsy are needed. The management of suspicious soft tissue tumors has to be carefully planned by a multidisciplinary team involving specialized surgeons and pathologists at a tumor center.

Keywords

soft tissue neoplasms - ultrasonography - sarcoma - lipoma - hemangioma

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