手部不确定性软组织肿瘤的临床及超声表现

发布时间：2018-12-16 19:13

【摘要】：目的探讨手部不确定性软组织肿瘤的临床及超声特点。方法回顾性分析38例手部不确定性软组织肿瘤的临床表现、超声检查资料、手术及病理结果,探讨其声像图特点。结果 38例中(共45个肿瘤),肿瘤位于手指、手背、手掌和手腕者分别占57.89%(22/38)、26.32%(10/38)、10.53%(4/38)、5.26%(2/38)。肿瘤最大径为0.5cm~4.1cm,平均(1.50±0.80)cm。病理类型为腱鞘巨细胞瘤13例、血管瘤6例、血管平滑肌瘤6例、神经鞘瘤4例、皮肤纤维瘤3例、血管脂肪瘤2例、血管球瘤1例、腱鞘纤维瘤1例、侵袭性血管黏液瘤1例、隆突性皮肤纤维肉瘤1例。大部分病变表现为边界清晰、外形规则的实性低回声肿块。肿块内部回声多样性与其病理类型及继发改变有关。结论手部不确定性软组织肿瘤病理类型繁多,大多数为良性。声像图表现无特异性,不能可靠区分良、恶性肿瘤。超声表现结合临床资料,可对部分肿瘤做出提示性或排除性诊断。
[Abstract]:Objective to investigate the clinical and ultrasonic features of uncertain soft tissue tumors of the hand. Methods the clinical manifestations, sonographic data, surgical and pathological findings of 38 cases of uncertain soft tissue tumors of the hand were retrospectively analyzed. Results of the 38 cases (45 tumors), 57.89% (22 / 38), 26.32% (10 / 38), 10.53% (4 / 38), 5.26% (2 / 38) were located in fingers, back of hand, palm and wrist, respectively. The maximum diameter of the tumor was 0.5 cm, 4.1 cm, with an average of (1.50 卤0.80) cm.. There were 13 cases of giant cell tumor of tendon sheath, 6 cases of hemangioma, 6 cases of angiomyoma, 4 cases of neurilemmoma, 3 cases of cutaneous fibroma, 2 cases of angiolipoma, 1 case of angioblastoma and 1 case of tenosynoid fibroma. Invasive angiomyxoma 1 case, Carina cutaneous fibrosarcoma 1 case. Most lesions showed solid hypoechoic masses with clear boundary and regular appearance. The internal echo diversity of the tumor is related to its pathological type and secondary changes. Conclusion there are many pathological types of uncertain soft tissue tumors in the hand, most of which are benign. The sonographic features were not specific and could not be reliably distinguished from benign and malignant tumors. Ultrasound findings combined with clinical data can be used to make indicative or exclusive diagnosis of some tumors.
【作者单位】：南京医科大学附属无锡人民医院超声医学科;南京医科大学附属无锡人民医院病理科;
【分类号】：R738.6;R445.1

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