体表血管平滑肌瘤的超声特点与病理学对照

发布时间：2018-06-20 05:55

  本文选题：血管平滑肌瘤 + 病理组织学　； 参考：《中国医学影像技术》2015年09期

【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AlderⅢ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。
[Abstract]:Objective to investigate the relationship between color Doppler ultrasonography and pathology of hemangioleiomyoma on the body surface (CAL). Methods 25 cases of CALs confirmed by operation and pathology were collected, and the location, shape, boundary, internal and posterior echo were analyzed and CDFI was used to observe the distribution of blood flow in the lumps, and the relationship between the ultrasonic findings of the masses and the histopathology was analyzed. Results Ultrasonography showed that 17 / 25 / 68.00 of CAL was most common in lower extremities. The sonographic features were oval, round nodules in subcutaneous tissue or deep dermis, with clear boundary and 23 / 2592.000.17 cases (17 / 25 / 258.00) showed color blood flow signal in the mass, 10 / 17 / 58.82% of Alder 鈪，

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