骨化性肌炎伴血管瘤样增生超声表现1例

发布时间：2018-05-09 13:40

本文选题：瘤样增生 + 骨化性肌炎　；参考：《中国超声医学杂志》2017年09期

【摘要】：正患者女,31岁。于2个月前发现左小腿背侧中段肿物,压痛明显,长时间站立可出现肿胀。超声检查:左侧小腿中段比目鱼肌内探及4.9cm×3.1cm×4.6cm低回声团块,形态不规则,边界不清,内回声不均质,周边可见多发斑片状强回声,后方伴声影;中心部位呈低回声区,内见较丰富血流信号,探及动静脉血流频谱,其内血管延伸至周围肌层内(图1~2)。超声提示:左小腿比目鱼肌实性肿物,性质待定。术中见:肿物呈褐色,包膜完整,质硬。病理结果:骨化性肌炎,伴血管瘤样增生。
[Abstract]:The patient was 31 years old. At 2 months ago, the middle part of left calf was found, tenderness was obvious, and swelling could occur when standing for a long time. Ultrasonic examination: 4.9cm 脳 3.1cm 脳 4.6cm low echo mass, irregular shape, unclear boundary, uneven internal echo, multiple patch strong echo around the left leg, posterior acoustical shadow, hypoechoic area in the center, ultrasonic examination: left middle leg soleus muscle probe and 4.9cm 脳 3.1cm 脳 4.6cm low echo mass, irregular shape, unclear boundary, uneven internal echo, multiple spots and strong echo around the left leg, followed by sound shadow at the rear. More abundant blood flow signals were found, and the blood flow spectrum of arteriovenous blood was detected. The internal blood vessels extended into the peripheral muscular layer (Fig. 1 / 2). Ultrasonic indication: left leg soleus muscle solid tumor, nature to be determined. Intraoperative findings: the tumor was brown, the capsule was intact, and the quality was hard. Pathological results: ossifying myositis with angiomatous hyperplasia.
【作者单位】：潍坊市人民医院门诊5楼超声科;
【分类号】：R445.1;R681

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