| 李素和,刘晓燕,李媛媛,贺瑜,尚建军,王建华.外阴血管肌纤维母细胞瘤超声表现与诊断[J].中国医学影像技术,2018,34(S1):42~44 |
| 外阴血管肌纤维母细胞瘤超声表现与诊断 |
| Ultrasonographic manifestations and diagnosis of angiomyofibroblastoma in vulva |
| 投稿时间：2018-06-26 修订日期：2018-10-27 |
| DOI：10.13929/j.1003-3289.201806136 |
| 中文关键词: 血管肌纤维母细胞瘤 外阴 超声检查 |
| 英文关键词:Angiomyofibroblastoma Vulva Ultrasonography |
| 基金项目: |
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| 摘要点击次数: 2020 |
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| 中文摘要: |
| 目的 探讨外阴血管肌纤维母细胞瘤的超声表现及诊断价值。方法 回顾性分析经手术病理证实的7例外阴血管肌纤维母细胞瘤患者的临床及超声检查资料，其中病灶位于左侧大阴唇皮下4例，右侧大阴唇皮下3例。结果 7例外阴血管肌纤维母细胞瘤中，2例术前超声诊断为血管肌纤维母细胞瘤，2例误诊为前庭大腺囊肿，2例误诊为脂肪瘤，1例误诊为皮脂腺囊肿，误诊率71.43%（5/7）。病灶超声均表现为近椭圆形、边缘完整的包块，内部整体背景为欠均匀低回声，部分区域可见无规律式分布的短条状高回声，后方无明显回声增强与衰减，CDFI可探及明显血流信号，且探头局部加压后包块明显变形、移位。结论 外阴血管肌纤维母细胞瘤声像图表现虽具有一定特征，但术前超声检查易误诊，需仔细鉴别。 |
| 英文摘要: |
| Objective To investigate the ultrasonographic manifestations and diagnostic value of angiomyofibroblastoma in vulva. Methods Clinical and ultrasonographic data of 7 patients with surgery and pathology confirmed angiomyofibroblastoma in vulva were retrospectively studied. The lesions were located on the left of big labia in 4 cases and located on the right of big labia in 3 cases. Results In all of 7 cases, there were 2 cases diagnosed as angiomyofibroblastoma with ultrasonography, 2 cases misdiagnosed as vestibular large cyst, 2 cases misdiagnosed as lipoma and 1 case misdiagnosed as sebaceous gland. The misdiagnosis rate was 71.43% (5/7). The ultrasonographic manifestations of angiomyofibroblastoma in vulva included nearly elliptic mass with complete border, non-uniform hypoechoic background, irregularly distributed short strip high echo, without echo attenuation or enhancement on posterior, rich blood flow detected with CDFI, obvious deformation and displacement of the lesion under the condition of focus pressurization. Conclusion The ultrasonographic manifestations of angiomyofibroblastoma in vulva is characteristic, but the preoperative ultrasonography is usually misdiagnosed. Careful identification is necessary. |
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