间皮瘤声像图特征  

Mesothelioma Manifestations on Sonography

作　　者：谢晴[1] 雷小莹[1] 刘春英[1] 张立新[1] 

机构地区：[1]西安市中心医院超声科,西安市710003

出　　处：《中国超声医学杂志》2008年第10期955-958,共4页Chinese Journal of Ultrasound in Medicine

摘　　要：目的运用彩色多普勒超声回顾性分析间皮瘤的声像图特征。方法分析经手术确诊病理证实16例间皮瘤临床表现、多普勒超声所见。结果16例间皮瘤患者7例胸膜间皮瘤、9例腹膜间皮瘤。7例胸膜间皮瘤均为良性,9例腹膜间皮瘤4例良性、5例恶性。声像图特征:良性胸膜间皮瘤表现为局限性及弥漫性改变,伴有不同程度胸腔积液。局限性胸膜间皮瘤为囊性及中—强回声实性结节,边界清楚;弥漫性胸膜间皮瘤表现为网状结构,胸腔内多个分隔回声带分成大、小不等房腔,均与胸膜相连。腹膜间皮瘤表现为大量腹水伴肠粘连,腹膜常显示弥漫性或局限性增厚,典型腹膜间皮瘤为腹膜呈网状结构,表面有多个分隔回声带分成大、小不等房腔,与腹腔脏器相连。结论胸、腹膜间皮瘤从临床症状到超声图像均无特异性,因此遇见顽固性胸、腹水病例需提高警惕,必要时作胸、腹膜活检或剖腹探查确诊,以便早期治疗。Objective To review clinical data of pleural and peritoneal mesothelioma on color Doppler ultrasound. Methods Mesothelioma in 16 cases was analysed retrospectively. Clinical appearances and Doppler sonographic findings were studied. Results Of the 16 patients with mesothelioma, 7 had pleural mesothelioma and 9 had peritoneal mesothelioma. Pleural mesothelioma in all cases were benign. In cases of peritoneal mesothelioma, 4 were benign, 5 were malignant. The benign pleural mesothelioma with hydrothorax showed local lesion of eystoid echo or hyperechoic nodules, and diffuse lesions revealed reticular formation which had a lot of atria connecting pleura. The peritoneal mesothelioma demonstrated ascites and intestinal adhesion with localized or diffused thickening of the peritoneum. The classical peritoneal mesothelioma was in reticular formation which had a lot of atria connecting viscera in the abdominal cavity. Conclusions The diagnosis of pleural and peritoneal mesothelioma according to clinical appearances and sonographic signs without specificity, so we should pay attertion to patients with obstinate hydrothorax or ascites. Sometimes biopsy of pleura and peritoneum will be needed for diagnosis and early therapy.

关 键 词：间皮瘤 彩色多普勒超声 胸膜 腹膜 

分 类 号：R730.4[医药卫生—肿瘤]