涎腺基底细胞腺瘤的超声表现及文献复习

发布时间：2018-05-09 01:38

  本文选题：涎腺 + 腺瘤　； 参考：《中国全科医学》2017年26期

【摘要】：目的总结涎腺基底细胞腺瘤(SBCA)的临床资料与超声图像,旨在提高临床对其超声图像特征的认识。方法选取2011年4月—2016年4月在北京大学第三医院以涎腺肿瘤收治入院并行手术切除且病理证实为SBCA的患者14例,回顾性分析患者的临床资料,包括发病部位、病程和临床表现;并分析超声检查结果,记录指标。结果 14例患者中男4例,女10例;中位年龄56岁。14个病灶均为单侧单发,12例(85.7%)位于腮腺,2例(14.3%)位于颌下腺;12例(85.7%)肿物直径3 cm;9例(64.3%)为椭圆形,3例(21.4%)可见浅分叶,2例(14.3%)表现为圆形。病灶均边界清晰,包膜完整,并可见侧方声影,后方回声增强。囊性变肿物中囊性成分≥50%者4例,囊性成分50%者6例,质地较软;4例实性病灶多呈均匀低回声,质地较硬;病灶均未见钙化;血流信号分级为0级3例、Ⅰ级4例、Ⅱ级1例、Ⅲ级6例。结论 SBCA超声图像具有一定的特征性,有助于与多形性腺瘤和腺淋巴瘤鉴别诊断,最终诊断仍依靠病理。
[Abstract]:Objective to summarize the clinical data and ultrasound images of salivary gland basal cell adenoma (SBCA) in order to improve the clinical understanding of the characteristics of SBCA. Methods from April 2011 to April 2016, 14 patients with salivary gland tumor admitted to Peking University third Hospital and pathologically proved to be SBCA were retrospectively analyzed. Course of disease and clinical manifestation, and analysis of the results of ultrasound, record indicators. Results among the 14 patients, there were 4 males and 10 females. The median age was 56 years old. The 14 lesions were unilateral and unilateral in 12 cases (85.7) and located in the parotid gland in 2 cases (14. 3) located in the submandibular gland in 12 cases. The diameter of the tumor was 3 cm) 9 cases (64.3%) were oval and 3 cases (21. 4) the superficial lobulation was seen in 2 cases (14. 3%) and round in 2 cases (14. 3%). All lesions had clear boundary, intact capsule, lateral acoustic shadow and enhanced echo in the rear. 4 cases with cystic component 鈮，

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