涎腺转移癌的临床特点及超声表现  

Ultrasound Manifestations and Clinical Features of Salivary Gland Metastases

作　　者：苏唤忠 苏毅明[1] 吕国荣 张晓东[1] 洪龙城 白冬雨[3] Su Huanzhong;Su Yiming;Lyu Guorong;Zhang Xiaodong;Hong Longcheng;Bai Dongyu(Department of Ultrasound,The First Affiliated Hospital of Xiamen University,Xiamen,Fujian 361003,China;Collaborative Innovation Center of Maternal and Child Health Service Technology,Quanzhou Medical College,Quanzhou,Fujian 362000,China;Department of Pathology,The First Affiliated Hospital of Xiamen University,Xiamen,Fujian 361003,China)

机构地区：[1]厦门大学附属第一医院超声影像科,福建省厦门市361003 [2]泉州医学高等专科学校母婴健康服务应用技术协同创新中心,福建省泉州市362000 [3]厦门大学附属第一医院病理科,福建省厦门市361003

出　　处：《中国超声医学杂志》2023年第8期849-852,共4页Chinese Journal of Ultrasound in Medicine

基　　金：泉州医学高等专科学校母婴健康服务应用技术协同创新中心资助(No.XJM1803)。

摘　　要：目的探讨涎腺转移癌(SM)的临床特点、超声表现及其诊断价值。方法回顾性分析17例病理证实为SM患者的临床及超声资料,总结SM的超声表现。结果17例SM的原发病灶依次为鼻咽鳞状细胞癌4例(23.5%)、乳腺癌4例(23.5%)、肺癌3例(17.6%)、头皮黑色素瘤2例(11.8%)、甲状腺癌1例(5.9%)、头皮基底细胞癌1例(5.9%)、额顶部上皮样血管肉瘤1例(5.9%)、恶性外周神经鞘瘤1例(5.9%);其中10例(58.8%)原发病灶位于头颈部,7例(41.2%)位于锁骨水平以下。超声多表现为实性低回声(15/17,88.2%)、边界不清(13/17,76.5%)、形态不规则(13/17,76.5%)、边缘毛糙(15/17,88.2%)、内部回声不均匀或欠均匀(16/17,94.1%);35.3%(6/17)内部见微钙化;88.2%(15/17)于病灶内部及周边探及Ⅱ级血流信号。17例SM病灶均与被膜关系密切。10例(58.8%)伴颈部淋巴结转移。结论SM的超声声像图具有一定的特征性,结合其临床资料有助于提高诊断准确度。Objective To investigate the clinical and ultrasonic features of salivary gland metastases(SM)and diagnostic value of ultrasonography(US)in SM.Methods The clinical and ultrasonic data of 17patients with SM which were confirmed by pathology were retrospectively analyzed,and the ultrasonic manifestations of SM were summarized.Results The primary lesions of 17patients of SM were nasopharyngeal squamous cell carcinoma in 4cases(23.5%),breast cancer in 4cases(23.5%),lung cancer in 3cases(17.6%),scalp melanoma in 2cases(11.8%),thyroid cancer in 1case(5.9%),scalp basal cell carcinoma in 1case(5.9%),frontal-parietal region epithelioid angiosarcoma in 1case(5.9%),and malignant peripheral nerve sheath tumor in 1case(5.9%).The primary lesions were located in the head and neck in 10cases(58.8%)and below the clavicle level in 7cases(41.2%).The sonographic features of most SM included solid hypoechoic(15/17,88.2%),unclear borders(13/17,76.5%),irregular shapes(13/17,76.5%),rough edges(15/17,88.2%),and heterogeneous echodensities(16/17,94.1%);35.3%(6/17)of the cases were accompanied by microcalcification;88.2%(15/17)of the cases had gradeⅡblood flow signals inside or around the lesions.All the 17cases of SM lesions were closely related to the capsule.10cases(58.8%)of the SM patients were with cervical lymph node metastasis.Conclusions The ultrasonic images of SM have certain characteristics,and it is helpful to improve the diagnostic accuracy combined with the patient’s clinical data.

关 键 词：涎腺转移癌 腮腺 颌下腺 超声检查 

分 类 号：R445.1[医药卫生—影像医学与核医学] R737.9[医药卫生—诊断学]