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Ultrasound of Soft Tissue Tumors

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1.4 Conclusion

Ultrasound is an important imaging technique in the initial assessment of a soft tissue swelling. In the majority of cases, it will establish that the swelling is benign in character (e.g., in wrist ganglions, meniscal cysts, or tenosynovitis) and obviate unnecessary further imaging workup.

In soft tissue tumors in the wrist, hand, fingers, and skin and in peripheral nerve tumors, ultrasound imaging is superior to MRI by virtue of its small field of view and excellent anatomical depiction. The drawback of ultrasound is its nonspecificity in the setting of a hypoechoic solid soft tissue mass. In institutions without a biopsy-dedicated CT or MRI suite, ultrasound is the most accessible and least time-consuming modality for imaging-guided aspiration and biopsy.

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References

  1. Alexander AA, Nazarian LN, Feld RI (1997) Superficial soft tissue masses suggestive of recurrent malignancy: sonographic localization and biopsy. Am J Roentgenol 169:1449–1451

    CAS  Google Scholar 

  2. Arya S, Nagarkatti DG, Dudhat SB, Nadkarni KS, Joshi MS, Shinde SR (2000) Soft tissue sarcomas: ultrasonographic evaluation of local recurrences. Clin Radiol 55(3):193–197

    Article  CAS  PubMed  Google Scholar 

  3. Barberie JE, Wong AD, Cooperberg PL, Caron BW (1998) Extended field of view sonography in musculoskeletal disorders. Am J Roentgenol 171:751–757

    CAS  Google Scholar 

  4. Beggs I (1997) Pictorial review: imaging of peripheral nerve tumors. Clin Radiol 52:8–17

    CAS  PubMed  Google Scholar 

  5. Behan M, Kazam E (1978) The echographic characteristics of fatty tissues and tumors. Radiology 129:143

    CAS  PubMed  Google Scholar 

  6. Bernardino ME, Jing BS, Thomas JL, Lindell MM, Zornoza J (1981) The extremity soft-tissue lesion: a comparative study of ultrasound, computed tomography and xerography. Radiology 139:53–59

    CAS  PubMed  Google Scholar 

  7. Bianchi S, Abdelwahab IF, Zwass A, Calogera R, Banderali A, Brovero P, Votano P (1993) Sonographic findings in examination of digital ganglia: retrospective study. Clin Radiol 48:45–47

    CAS  PubMed  Google Scholar 

  8. Bianchi S, Abdelwahab IF, Zwass A, Giacomello P (1994) Ultrasonographic evaluation of wrist ganglia. Skeletal Radiol 23:201–203

    Article  CAS  PubMed  Google Scholar 

  9. Braunstein EM, Silver TM, Martel W, Jaffe M (1981) Ultrasonographic diagnosis of extremity masses. Skeletal Radiol 6:157–163

    CAS  PubMed  Google Scholar 

  10. Brouns F, Stas M, De Wever I (2003) Delay in diagnosis of soft tissue sarcomas. Eur J Surg Oncol 29(5):440–445

    Article  CAS  PubMed  Google Scholar 

  11. Cardinal E, Buckwalter KA, Braunstein EM, Mih AD (1994) Occult dorsal carpal ganglion: comparison of US and MR imaging. Radiology 193:259–262

    CAS  PubMed  Google Scholar 

  12. Cardinal E, Buckwalter KA, Braunstein EM, Raymond-Tremblay D, Benson MD (1996) Amyloidosis of the shoulder in patiens on chronic hemodialysis: sonographic findings. Am J Roentgenol 166:153–156

    CAS  Google Scholar 

  13. Cardinal E, Chem RK, Beauregard CG (1998) Ultrasoundguided interventional procedures in the musculoskeletal system. Radiol Clin North Am 36:597–604

    Article  CAS  PubMed  Google Scholar 

  14. Chinn DH, Filly RA, Callen PW (1982). Unusual ultrasonographic appearance of a solid schwannoma. J Clin Ultrasound 10:243–245

    CAS  PubMed  Google Scholar 

  15. Choi H, Varma DGK, Fornage BD, Kim EE, Johnston DA (1991) Soft tissue sarcoma: MR imaging vs sonography for detection of local recurrence after surgery. Am J Roentgenol 157:353–358

    CAS  Google Scholar 

  16. Chiou HJ, Chou YH, Chiou SY, Liu JB, Chang CY (2003) Peripheral nerve lesions: role of high-resolution US. Radiographics. 2003 23(6):e15. Epub 2003 Aug 25

    Google Scholar 

  17. Christensen RA, Van Sonnenberg E, Casola G, Wittich GR (1988) Interventional ultrasound in the musculoskeletal system. Radiol Clin North Am 26:145–156

    CAS  PubMed  Google Scholar 

  18. Daly BD, Cheung H, Gaines PA, Bradley MJ, Metreweli C (1992) Imaging of alveolar soft part sarcoma. Clin Radiol 46:253–256

    Article  CAS  PubMed  Google Scholar 

  19. De Clercq H, De Man R, Van Herck G, Tanghe W, Lateur L (1993) Case report 814: fibrolipoma of the median nerve. Skeletal Radiol 22:610–613

    Google Scholar 

  20. De Flaviis L, Nessi R, Del Bo P, Calori G, Balconi G (1987) High-resolution ultrasonography of wrist ganglia. J Clin Ultrasound 15:17–22

    PubMed  Google Scholar 

  21. Derchi LE, Balconi G, De Flaviis L, Oliva A, Rosso F (1989) Sonographic appearances of hemangiomas of skeletal muscle. J Ultrasound Med 8:263–267

    CAS  PubMed  Google Scholar 

  22. Fornage BD (1987) Tuberculoid leprosy. J Ultrasound Med 6:105–107

    CAS  PubMed  Google Scholar 

  23. Fornage BD (1988) Peripheral nerves of the extremities: imaging with US. Radiology 167:179–182

    CAS  PubMed  Google Scholar 

  24. Fornage BD (1988) Glomus tumors in the fingers: diagnosis with US. Radiology 167:183–185

    CAS  PubMed  Google Scholar 

  25. Fornage BD, Lorigan J (1989) Sonographic detection and fine-needle aspiration biopsy of nonpalpable recurrent or metastatic melanoma in subcutaneous tissues. J Ultrasound Med 8:421–424

    CAS  PubMed  Google Scholar 

  26. Fornage BD, Rifkin MD (1988) Ultrasound examination of the hand and foot. Radiol Clin North Am 26:114–129

    Google Scholar 

  27. Fornage BD, Tassin GB (1991) Sonographic appearances of superficial soft tissue lipomas. J Clin Ultrasound 19:215–220

    CAS  PubMed  Google Scholar 

  28. Fornage BD, Schernberg FL, Rifkin MD, Touche DH (1984) Sonographic diagnosis of glomus tumor of the finger. J Ultrasound Med 3:523–524

    CAS  PubMed  Google Scholar 

  29. Fornage BD, Schernberg FL, Rifkin MD (1985) Ultrasound examination of the hand. Radiology 155:785–788

    CAS  PubMed  Google Scholar 

  30. Fornage BD, Richli WR, Chuapetcharasopon C (1991) Calcaneal bone cyst: sonographic findings and ultrasound-guided aspiration biopsy. J Clin Ultrasound 19:360–362

    CAS  PubMed  Google Scholar 

  31. Fornage BD, McGavran MH, Duvic M, Waldron CA (1993) Imaging of the skin with 20-MHz US. Radiology 189:69–76

    CAS  PubMed  Google Scholar 

  32. Friedman AP, Haller JO, Goodman JD, Nagar H (1983) Sonographic evaluation of non-inflammatory neck masses in children. Radiology 147:693–697

    CAS  PubMed  Google Scholar 

  33. Graif M, Seton A, Nerubai J, Horoszowski H, Itzchak Y (1991) Sciatic nerve: sonographic evaluation and anatomic-pathologic considerations. Radiology 181:405–408

    CAS  PubMed  Google Scholar 

  34. Greenspan A, Mc Gahan JP, Vogelsang P, Szabo RM (1992) Imaging strategies in the evaluation of soft-tissue hemangiomas of the extremities: correlation of the findings of plain radiography, angiography, CT, MRI and ultrasonography in 12 histologically proven cases. Skeletal Radiol 21:11–18

    Article  CAS  PubMed  Google Scholar 

  35. Griffith JF, Chan DP, Kumta SM, Chow LT, Ahuja AT (2004) Does Doppler analysis of musculoskeletal soft-tissue tumours help predict tumour malignancy? Clin Radiol 59(4):369–375

    Article  CAS  PubMed  Google Scholar 

  36. Gritzmann N, Schratter M, Traxler M, Helmer M (1988) Ultrasonography and computed tomography in deep cervical lipomas and lipomatosis of the neck. J Ultrasound Med 7:451–456

    CAS  PubMed  Google Scholar 

  37. Harcke HT, Grissom LE, Finkelstein MS (1988) Evaluation of the musculoskeletal system with ultrasonography. Am J Roentgenol 150:1253–1261

    CAS  Google Scholar 

  38. Hashimoto BE, Kramer DJ, Wiitala L (1999) Applications of musculoskeletal sonography. J Clin Ultrasound 27:293–318

    Article  CAS  PubMed  Google Scholar 

  39. Heckmatt JZ, Dubowitz V (1985) Diagnostic advantage of needle muscle biopsy and ultrasound imaging in the detection of focal pathology in a girl with limb girdle dystrophy. Muscle Nerve 8:705–709

    Article  CAS  PubMed  Google Scholar 

  40. Hoddick WK, Callen PW, Filly RA, Mahony BS, Edwards MB (1984) Ultrasound evaluation of benign sciatic nerve sheath tumors. J Ultrasound Med 3:505–507

    CAS  PubMed  Google Scholar 

  41. Hoglund M, Muren C, Engkvist O (1997) Ultrasound characteristics of five common soft-tissue tumours in the hand and forearm. Acta Radiologica 38:348–354

    CAS  PubMed  Google Scholar 

  42. Hughes DG, Wilson DJ (1986) Ultrasound appearances of peripheral nerve tumors. British J Radiol 59:1041–1043

    CAS  Google Scholar 

  43. Jacobson JA (1999) Musculoskeletal sonography and MR imaging. A role for both imaging methods. Radiol Clin North Am 37:713–735

    Article  CAS  PubMed  Google Scholar 

  44. Inampudi P, Jacobson JA, Fessell DP, Carlos RC, Patel SV, Delaney-Sathy LO, Holsbeeck MT van (2003) Soft-tissue lipomas: accuracy of sonography in diagnosis with pathologic correlation. Radiology 233(3):763–767. Epub 2004 Oct 14

    Google Scholar 

  45. Jain R, Bandhu S, Sawhney S, Mittal R (2002) Sonographically guided percutaneous sclerosis using 1% polidocanol in the treatment of vascular malformations. J Clin Ultrasound 30(7):416–423

    Article  PubMed  Google Scholar 

  46. Kaufman RA, Towbin RB, Babcock DS, Crawford AH (1982) Arthrosonography in the diagnosis of pigmented villonodular synovitis. Am J Roentgenol 139:396–398

    CAS  Google Scholar 

  47. Kaushik S, Miller TT, Nazarian LN, Foster WC (2003) Spectral Doppler sonography of musculoskeletal soft tissue masses. J Ultrasound Med 22(12):1333–1336

    PubMed  Google Scholar 

  48. Kay J, Benson CB, Lester S, Corson JM, Pinkus GS, Lazarus JM, Owen WF (1992) Utility of high-resolution ultrasound for the diagnosis of dialysis-related amyloidosis. Arthritis Rheum 35:926–931

    CAS  PubMed  Google Scholar 

  49. Kraus R, Bokyung KH, Babcock DS, Oestreich AE (1986) Sonography of neck masses in children. Am J Roentgenol 146:609–613

    CAS  Google Scholar 

  50. Lang CJG, Neubauer U, Quaiyumi S, Fahlbusch R (1994) Intraneural ganglion of the sciatic nerve: detection by ultrasound (letter). J Neurol Neurosurg Psychiatry 57:870–871

    CAS  PubMed  Google Scholar 

  51. Leijten FS, Arts WF, Puylaert JBC (1992) Ultrasound diagnosis of an intraneural ganglion cyst of the peroneal nerve. J Neurosurg 76:538–540

    CAS  PubMed  Google Scholar 

  52. Levey DS, Park YH, Sartoris DJ (1995) Radiologic review: imaging of pedal soft tissue neoplasms. J Foot Ankle Surg 34 413–415

    Google Scholar 

  53. Lin EC, Middleton WD, Teefey SA (1999) Extended field of view sonography in musculoskeletal imaging. J Ultrasound Med 18:147–152

    CAS  PubMed  Google Scholar 

  54. Liu JC, Chiou HJ, Chen WM, Chou YH, Chen TH, Chen W, Yen CC, Chiu SY, Chang CY (2004) Sonographically guided core needle biopsy of soft tissue neoplasms. J Clin Ultrasound 32(6):294–298

    Article  PubMed  Google Scholar 

  55. Marzano L, Failoni S, Gallazzi M, Garbagna P (2004) The role of diagnostic imaging in synovial sarcoma. Our experience. Radiol Med (Torino) 107(5–6):533–540

    Google Scholar 

  56. McMahon LP, Radford J, Dawborn JK (1991) Shoulder ultrasound in dialysis related amyloidosis. Clin Nephrol 35:227–232

    CAS  PubMed  Google Scholar 

  57. Morris SJ, Adams H (1995) Case report: paedriatic intramuscular haemangiomata — don’t overlook the phlebolith! Br J Radiol 68:208–211

    CAS  PubMed  Google Scholar 

  58. Moss GD, Dishuk W (1984) Ultrasound diagnosis of osteochondromatosis of the popliteal fossa. J Clin Ultrasound 12:232–233

    CAS  PubMed  Google Scholar 

  59. Obayashi T, Itoh K, Nakano A (1987) Ultrasonic diagnosis of schwannoma. Neurology 37:1817

    CAS  PubMed  Google Scholar 

  60. Ogino T, Minami A, Fukuda K, Sakuma T, Kato H (1988) The dorsal occult ganglion of the wrist and ultrasonography. J Hand Surg 13B:181–183

    Google Scholar 

  61. Pai VR, Holsbeeck M van (1995) Synovial osteochondromatosis of the hip: role of ultrasonography. J Clin Ultrasound 23:199–203

    CAS  PubMed  Google Scholar 

  62. Pathria MN, Zlatkin M, Sartoris DJ, Scheible W, Resnick D (1988) Ultrasonography of popliteal fossa and lower extremities. Radiol Clin North Am 26:77–85

    CAS  PubMed  Google Scholar 

  63. Patten RM, Shuman WP, Teefey S (1989) Subcutaneous metastases from malignant melanoma: prevalence and findings on CT. Am J Roentgenol 152:1009–1012

    CAS  Google Scholar 

  64. Quinn TJ, Jacobson JA, Craig JG, Holsbeeck MT van (2000) Sonography of Morton’s neuroma. Am J Roentgenol 174:1723–1728

    CAS  Google Scholar 

  65. Redd RA, Peters VJ, Emery SF, Branch HM, Rifkin MD (1989) Morton neuroma: sonographic evaluation. Radiology 171:415–417

    CAS  PubMed  Google Scholar 

  66. Reuter KL, Raptopoulos V, De Girolami U, Akins CM (1982) Ultrasonography of plexiform neurofibroma in the politeal fossa. J Ultrasound Med 1:209–211

    CAS  PubMed  Google Scholar 

  67. Richardson ML, Selby B, Montana MA, Mack LA (1988) Ultrasonography of the knee. Radiol Clin North Am 26:63–75

    CAS  PubMed  Google Scholar 

  68. Richman JA, Gelberman RH, Engber WD, Salamon PB, Bean DJ (1987) Ganglions of the wrist and digits: results of treatment by aspiration and cyst wall puncture. J Hand Surg 12A:1041–1043

    Google Scholar 

  69. Rowley VA, Cooperberg PL (1987) Ultrasound guided biopsy in interventional ultrasound. Clin Diagn Ultrasound 21:59–76

    Google Scholar 

  70. Rubens DJ, Fultz PJ, Gottlieb RH, Rubin SJ (1997) Effective ultrasonographically guided intervention for diagnosis of musculoskeletal lesions. J Ultrasound Med 16:831–842

    CAS  PubMed  Google Scholar 

  71. Sherman NH, Rosenberg HK, Heyman S, Templeton J (1985) Ultrasound evaluation of neck masses in children. J Ultrasound Med 4:127–134

    CAS  PubMed  Google Scholar 

  72. Sheth S, Nussbaum AR, Hutchins GM, Sanders RC (1987) Cystic hygromas in children: sonographic-pathologic correlation. Radiology 1987:821–824

    Google Scholar 

  73. Silvestri E, Bertolotto RP, Neumaier CE, Derchi LE (1994) Case report: US detection of tendinous metastasis from malignant melanoma. Clin Radiol 49:288–289

    CAS  PubMed  Google Scholar 

  74. Silvestri E, Martinoli C, Derchi LE, Bertolotto M, Chiaramondia M, Rosenberg I (1995) Echotexture of peripheral nerves: correlation between US and histologic findings and criteria to differentiate tendons. Radiology 197:291–296

    CAS  PubMed  Google Scholar 

  75. Singson RD, Feldman F, Slipman CW, Gonzalea E, Rosenberg ZS, Kiernan H (1987) Postamputation neuromas and other symptomatic stump abnormalities: detection with CT. Radiology 162:743–745

    CAS  PubMed  Google Scholar 

  76. Skirving AP, Kozak TKW, Davis SJ (1994) Infraspinatus paralysis due to spinoglenoid notch ganglion. J Bone Joint Surg 76B:588–591

    Google Scholar 

  77. Takagishi K, Maeda K, Ikeda Toshiaki, Itoman M and Yamamoto M (1991) Ganglion causing paralysis of the suprascapular nerve. Acta Orthop Scand 62:391–393

    CAS  PubMed  Google Scholar 

  78. Takagishi K, Saitoh A, Tonegawa M, Ikeda T, Itoman M (1994) Isolated paralysis of the infraspinatus muscle. J Bone Joint Surg 76B:584–587

    Google Scholar 

  79. Vincent LM (1988) Ultrasound of soft tissue abnormalities of the extremities. Radiol Clin North Am 26:140–143

    Google Scholar 

  80. Weng L, Tirumalai AP, Lowery CM, Nock LF, Gustafson DE, Von Behren PL, Kim JH (1997) Extended-field-of-view imaging technology. Radiology 203:877–880

    CAS  PubMed  Google Scholar 

  81. White EA, Filly RA (1980) Cholesterol crystals as the source of both diffuse and layered echoes in a cystic ovarian tumor. J Clin Ultrasound 8:241–243

    CAS  PubMed  Google Scholar 

  82. Wilson DJ (1989) Ultrasonic imaging of soft tissues. Clin Radiol 40:341–342

    CAS  PubMed  Google Scholar 

  83. Zornoza. Zornoza J, Bernardino ME, Ordonez NG, Thomas JL, Cohen MA (1982) Percutaneous needle biopsy of soft tissue tumors guided by ultrasound and computed tomography. Skeletal Radiol 9:33–36

    Article  CAS  PubMed  Google Scholar 

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Gielen, J., Ceulemans, R., van Holsbeeck, M. (2006). Ultrasound of Soft Tissue Tumors. In: De Schepper, A.M., Vanhoenacker, F., Gielen, J., Parizel, P.M. (eds) Imaging of Soft Tissue Tumors. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-30792-3_1

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