侵袭性纤维瘤病的临床特征及超声表现分析  

Analysis of clinical features and ultrasound manifestations of aggressive fibromatosis

作　　者：何珂 王东林[1] 廖卫[1] 高立霓[1] 陈美西[1] HE Ke;WANG Donglin;LIAO Wei;GAO Lini;CHEN Meixi(Department of Ultrasound Medicine,Hainan General Hospital,Hainan Hospital Affiliated of Hainan Medical College,Haikou 570311,Hainan Province,China)

机构地区：[1]海南省人民医院,海南医学院附属海南医院超声科,海南海口570311

出　　处：《肿瘤影像学》2023年第1期59-63,共5页Oncoradiology

基　　金：海南省自然科学基金高层次人才(821RC755)。

摘　　要：目的:探讨侵袭性纤维瘤病(aggressive flbromatosis,AF)的临床特征及超声表现,以期提高对AF的认识并提升超声诊断能力。方法:回顾并分析经病理学检查确诊的20例AF患者临床及超声资料,总结AF的临床特征及超声征象。结果:20例患者共20个病灶,均为单发,其中17例为首发病灶,3例为复发病灶,复发时间0.3~1.5年;腹壁型10例,腹外型8例,腹内型2例,女性13例,男性7例,年龄21~66岁,中位年龄33岁,其中10例(50.0%)患者既往有手术史。病灶大小不等,最大直径1.0~23.2 cm,中位直径5.3 cm。超声表现形态规则9例(45.0%)、形态不规则11例(55.0%);膨胀性生长为主18例(90.0%)、浸润性生长为主2例(10.0%);边界清晰5例(25.0%)、边界不清晰15例(75.0%);内部结构为实性20例(100.0%);内部回声主要为低回声20例(100.0%);后方回声增强7例(35.0%)、无改变12例(60.0%)、衰减1例(5.0%);Adler血流分级1级5例(25.0%)、2级8例(40.0%)、3级7例(35.0%)。结论:AF具有某些特殊的临床及超声表现,结合临床特征及超声征象对诊断AF具有重要的价值。Objective:To investigate the clinical features and ultrasound manifestations of aggressive flbromatosis(AF)in order to improve the recognize of AF and the ability of ultrasound diagnosis.Methods:The clinical and ultrasonic data of 20 patients with AF conflrmed by pathology were retrospectively analyzed,and the clinical features and ultrasound characteristics of AF were summarized.Results:The 20 lesions in 20 patients in this material,all of which were solitary,of which 17 were the flrst lesions and 3 were recurrent lesions,and the recurrent time was 0.3-1.5 years;There were 10 cases of abdominal wall type,8 cases of external abdominal type and 2 cases of intra-abdominal type,and there were 13 females,7 males,aged from 21 to 66 years old,median age 33 years old,of which 10 patients(50.0%)had previous surgery history.The size of the lesions varies,with the largest diameter being about 1.0-23.2 cm and the median diameter being 5.3 cm.The ultrasonic characteristics showed the shape regular and irregular has 9 cases(45.0%)and 11 cases(55.0%)respectively;there were 18 cases(90.0%)and 2 cases(10.0%)expressed as expansive growth and invasive growth respectively;5 cases with clear boundary(25.0%)and 15 cases with unclear boundary(75.0%);20 cases with solid internal structure(100.0%)and hypoechoic internal echo(100.0%);the posterior echo performance enhancement 7 cases(35.0%),without change 12 cases(60.0%),and attenuation 1 case(5.0%);the internal blood fow Alder grade 1 was 5 cases(25.0%),grade 2 was 8 cases(40.0%)and grade 3 was 7 cases(35.0%).Conclusion:The clinical features and ultrasonic manifestations of AF have certain characteristics,combination of the two is great value for the accurate diagnosis of AF.

关 键 词：侵袭性纤维瘤病 超声 临床特征 

分 类 号：R738.6[医药卫生—肿瘤] R445.1[医药卫生—临床医学]