| 李明,赵新美,吴春燕,吴鹏西.体表血管平滑肌瘤的超声特点与病理学对照[J].中国医学影像技术,2015,31(9):1402~1405 |
| 体表血管平滑肌瘤的超声特点与病理学对照 |
| Ultrasonographic characteristics of cutaneous angioleiomyomas: Compared with pathology |
| 投稿时间：2015-01-31 修订日期：2015-07-11 |
| DOI：10.13929/j.1003-3289.2015.09.031 |
| 中文关键词: 血管平滑肌瘤 病理组织学 超声检查,多普勒,彩色 |
| 英文关键词:Angioleiomyomas Histopathology Ultrasonography, Doppler, color |
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| 中文摘要: |
| 目的 探讨体表血管平滑肌瘤(CAL)的彩色多普勒超声声像图特点与病理学的关系.方法 收集经手术及病理证实的25例CAL,分析病变位置、形态、边界、内部及后方回声等超声征象,CDFI观察包块内部血流分布情况,并分析肿块的超声表现与组织病理学的关系.结果 超声检查发现,CAL以下肢最多见(17/25,68.00%).超声表现为位于皮下组织或真皮深层内的椭圆形、类圆形结节,边界清晰,以低回声为主(23/25,92.00%).17例(17/25,68.00%)肿块内部可见彩色血流信号,以Alder Ⅲ级者为主(10/17,58.82%);Alder 0级者,以实体型为主(6/8,75.00%).结论 CAL为好发于肢体皮下边界清晰的实性低回声肿块,多伴较丰富的血流信号.CAL声像图表现与组织病理学特征密切相关. |
| 英文摘要: |
| Objective To investigate the relation of ultrasonographic characteristics and pathologoic features of cutaneous angioleiomyomas (CAL). Methods The ultrasonographic features of 25 CAL cases confirmed by surgery and pathology, including location, morphology, margin, internal and posterior echogenicity were analyzed retrospectively. Distribution of blood flow was observed by CDFI. Sonographic findings were compared with histological results, and their relation were discussed. Results CAL occurred mostly in lower limb (17/25, 68.00%). Most lesions located in subcutaneous tissue or deep dermal layer, and showed well-defined, oval or round nodules, mainly homogeneous (23/25, 92.00%). Seventeen cases (17/25, 68.00%) showed blood flow within the masses, and mainly on Alder Ⅲ (10/17, 58.82%); Alder 0 were mainly solid (6/8, 75.00%). Conclusion The well-circumscribed hypoechoic solid subcutaneous masses occurred mostly in limb, with abundant blood signals are typical ultrasonographic appearances of CAL, which is well related to pathologic characteristics. |
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