软组织血管肉瘤超声影像诊断  

Sonographic diagnosis of soft tissue angiosarcoma

作　　者：李程[1] 梁键锋[1] 曾福强[1] 林庆光[2] Li Cheng;Liang Jianfeng;Zeng Fuqiang;Lin Qingguang(Department of Ultrasound,Zhongshan Hospital of Traditional Chinese Medicine,Zhongshan,Guangdong 528400,China;Department of Ultrasound,Cancer Prevention and Treatment Center,Sun Yat-sen University,Guangzhou,Guangdong 510060,China)

机构地区：[1]中山市中医院超声科,广东中山528400 [2]中山大学肿瘤防治中心超声科,广东广州510060

出　　处：《影像研究与医学应用》2020年第22期33-36,共4页Journal of Imaging Research and Medical Applications

摘　　要：目的:总结软组织血管肉瘤的声像图表现,探讨超声在其诊断中的应用价值。方法:回顾性分析14个(共16例肿块)经手术及病理确诊的血管肉瘤患者的临床和超声资料。结果:14个病例中共有16例肿物,其中乳腺8例、头面部4例、四肢躯干4例。肿物呈椭圆形或浅分叶状,11例(68.7%)边界清,5例(31.3%)边界不清,13例(81.3%)肿物内部表现为结构扭曲的高低混杂回声,3例(18.7%)表现为中等不均质回声,所有肿物的后方回声均增强,血流信号丰富,加压后肿物前后径缩短。剪切波弹性成像参数Eave(53.81±5.67)Kpa,Esd(39.09±4.13)Kpa。结论:软组织血管肉瘤在超声图像上表现为结构扭曲的高低混杂回声团,剪切波弹性成像参数Esd对软组织肿瘤的良恶性鉴别诊断有一定提示作用,再结合肿物快速增长的临床表现,不难诊断为恶性肿物,并对临床做出提示。但最终的诊断,还是需要依靠病理组织学。Objective To summarize the ultrasonographic characteristics of soft tissue angiosarcoma and to investigate the diagnostic value of ultrasound.Methods We retrospectively analysed the clinic and ultrasonographic data of 14 cases(16 masses)of angiosarcoma comfirming with surgery and pathology.Results There were 16 tumors in 14 cases,including 8 in breast,4 in head and face,4 in limbs and trunk.The masses were oval or light lobulated,11 cases(68.7%)had clear boundary,and 5 cases(31.3%)had unclear boundary.In 13 cases(81.3%),the internal echo of the tumor was high and low mixed echo with distorted structure,and in 3 cases(18.7%)it was medium heterogeneous echo,the posterior echo of all the tumors was enhanced,the blood flow signal in the tumor was abundant,and the anteroposterior diameter of the tumors was shortened after compression.Conclusion Soft tissue angiosarcoma is characterized by high and low mixed echo masses with distorted structure,and the parameters of shear wave elastography(Esd)may be helpful in the differential diagnosis of benign and malignant soft tissue tumors,combined with the clinical manifestations of rapid growth of tumor,it is not difficult to diagnose as malignant tumor,and make a prompt for clinical practice.But,the final diagnosis depends on histopathology.

关 键 词：血管肉瘤 超声检查 剪切波弹性成像 

分 类 号：R732.2[医药卫生—肿瘤]