2例脐尿管癌的超声表现及文献分析  

Ultrasonography findings of two patients with urachal carcinoma and literature analysis

作　　者：周洁[1] 

机构地区：[1]南京医科大学附属医院南京明基医院超声科,江苏南京210019

出　　处：《实用临床医药杂志》2013年第A01期65-66,共2页Journal of Clinical Medicine in Practice

摘　　要：目的结合现有的临床资料，分析探讨超声在脐尿管癌诊断中的应用价值。方法回顾性地分析了经手术证实的2例脐尿管癌的超声表现，搜集已发表的相关文献，进行分析总结。结果2例病灶位于膀胱顶壁，累及局部膀胱壁，病理诊断均为腺癌。超声图像以低回声实性包块为主，回声不均质，形态不规则，未见明显钙化，可探及低阻性动脉频谱。结论脐尿管癌发病隐蔽、早期诊断困难、发生转移后预后不佳，超声检查可以了解肿瘤的位置、大小、侵犯程度及血流情况，为肿瘤的诊断提供有价值的参考。Objective To analyze the application value of ultrasound in the diagnosis of urachal carcinoma by combining the current clinical data. Methods The ultrasonography findings of 2 patients with urachal carcinoma confirmed by operation were retrospectively analyzed, and the published relative literature was collected and summarized. Results The lesions of 2 patients were located on the top wall of urinary bladder, involving local urinary bladder wall. They were diagnosed as adenocarcinoma. The ultrasonoscopy was mainly irregular solid masses with uneven hypoecho, without obvious calcification. In addition, arterial spectrum with low resistance could be probed. Conclusion Urachal carcinoma is characterized by hidden onset, early difficult diagnosis and poor prognosis after metastasis, hence ultrasonography can understand the tumor location, size, aggressive degree and blood flow condition, which provides valuable references for tumor diagnosis.

关 键 词：脐尿管 腺癌 超声影像学检查 

分 类 号：R737.1[医药卫生—肿瘤]