摘要
目的 探讨隆突性皮肤纤维肉瘤(DFSP)的临床及超声声像图特征,帮助提高该病的诊断及鉴别诊断.方法 选取我院经病理证实的隆突性皮肤纤维肉瘤患者 184 例,其中 26 例有完整的临床资料及术前超声检查,分析 26 例DFSP患者的临床及超声特征.结果 184 例DFSP患者(男:女 1.33:1.00),肿块发生于躯干 104 例(56.5%),四肢 61例(33.2%),头颈部 19 例(10.3%).26 例临床资料完整的 DFSP 患者中 2 例(7.7%)肿块局限于真皮层内,24 例(92.3%)肿块突破真皮层延伸到皮下脂肪层.6 例(23.1%)肿块边界不清晰;10 例(38.5%)肿块形态不规则.根据肿块内的回声特点,分为 3 型:Ⅰ型肿块 6 例(23.1%)表现为均质或不均质低回声,内可见点状、短线状高回声;Ⅱ型肿块 18例(69.2%)表现为高、低间杂的混合回声;Ⅲ型肿块 2 例(7.7%)表现为稍高回声,肿瘤边缘似"假足样"突起.14 例(53.8%)肿块后方回声增强,所有病例肿块内均未见钙化.肿块内血流分级:0 级 3 例(11.5%),Ⅰ级 8 例(30.8%),Ⅱ级7 例(26.9%),Ⅲ级 8 例(30.8%).所有病例均未发现淋巴结及远处转移.结论 DFSP的临床表现和超声图像有一定的特征性.超声检查有助于提高该病的诊断.
Abstract
Objective The sonographic features of dermatofibrosacoma protuberrans have been summarized,in order to as-sist the diagnosis of the disease.Methods 184 cases histopathologically proven dermatofibrosacoma protuberrans were retro-spectively analyzed,in which 26 cases had complete clinical data and preoperative ultrasound examination.The clinical and so-nographic features of the 26 cases were summarized.Results Of those 184 cases of dermatofibrosacoma protuberrans,the male-to-female ratio was 1.33:1.00,104 cases(56.5％)occurred in the trunk,61 cases(33.2％)in the limbs,and 19 cases(10.3％)in the head and neck.Among 26 patients,the mass in 2 cases(7.7％)was confined to the dermis,the mass in 24 cases(92.3％)extended to the subcutaneous fat layer.6 cases had unclear boundaries and10 patients had irregular morphology.According to the characteristics of the echo in the mass,they can be divided into three types:there were 6 cases(23.1％)of type Ⅰ mass,which was homogeneous or heterogeneous hypoechoic,with punctate and short linear hyperechoic,18 cases(69.2％)of type Ⅱ mass,which presented with mixed echoes of high and low intermingled,and 2 cases(7.7％)of type Ⅲ mass,which was slightly hyper-echoic,"Pseudofoot"protrusions at the margin of the tumor.There were 14 cases(53.8％)with enhanced echo behind the mass,and no calcification was observed in the mass in all cases.The vascularity of the mass was as follows:3 case(11.5％)was grade 0,8 cases(26.9％)were grade Ⅰ,7 cases(26.9％)were grade Ⅱ,and 8 cases(30.8％)were grade Ⅲ.No lymph nodes and me-tastasis were seen in all cases.Conclusions The clinical and ultrasound images of dermatofibrosarcoma protuberans are charac-teristic.Ultrasound helps improve the diagnosis of the disease.
NETL
NSTL
万方数据