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涎腺基底細(xì)胞腺瘤的超聲表現(xiàn)及文獻(xiàn)復(fù)習(xí)

發(fā)布時間:2018-05-09 01:38

  本文選題:涎腺 + 腺瘤 ; 參考:《中國全科醫(yī)學(xué)》2017年26期


【摘要】:目的總結(jié)涎腺基底細(xì)胞腺瘤(SBCA)的臨床資料與超聲圖像,旨在提高臨床對其超聲圖像特征的認(rèn)識。方法選取2011年4月—2016年4月在北京大學(xué)第三醫(yī)院以涎腺腫瘤收治入院并行手術(shù)切除且病理證實為SBCA的患者14例,回顧性分析患者的臨床資料,包括發(fā)病部位、病程和臨床表現(xiàn);并分析超聲檢查結(jié)果,記錄指標(biāo)。結(jié)果 14例患者中男4例,女10例;中位年齡56歲。14個病灶均為單側(cè)單發(fā),12例(85.7%)位于腮腺,2例(14.3%)位于頜下腺;12例(85.7%)腫物直徑3 cm;9例(64.3%)為橢圓形,3例(21.4%)可見淺分葉,2例(14.3%)表現(xiàn)為圓形。病灶均邊界清晰,包膜完整,并可見側(cè)方聲影,后方回聲增強(qiáng)。囊性變腫物中囊性成分≥50%者4例,囊性成分50%者6例,質(zhì)地較軟;4例實性病灶多呈均勻低回聲,質(zhì)地較硬;病灶均未見鈣化;血流信號分級為0級3例、Ⅰ級4例、Ⅱ級1例、Ⅲ級6例。結(jié)論 SBCA超聲圖像具有一定的特征性,有助于與多形性腺瘤和腺淋巴瘤鑒別診斷,最終診斷仍依靠病理。
[Abstract]:Objective to summarize the clinical data and ultrasound images of salivary gland basal cell adenoma (SBCA) in order to improve the clinical understanding of the characteristics of SBCA. Methods from April 2011 to April 2016, 14 patients with salivary gland tumor admitted to Peking University third Hospital and pathologically proved to be SBCA were retrospectively analyzed. Course of disease and clinical manifestation, and analysis of the results of ultrasound, record indicators. Results among the 14 patients, there were 4 males and 10 females. The median age was 56 years old. The 14 lesions were unilateral and unilateral in 12 cases (85.7) and located in the parotid gland in 2 cases (14. 3) located in the submandibular gland in 12 cases. The diameter of the tumor was 3 cm) 9 cases (64.3%) were oval and 3 cases (21. 4) the superficial lobulation was seen in 2 cases (14. 3%) and round in 2 cases (14. 3%). All lesions had clear boundary, intact capsule, lateral acoustic shadow and enhanced echo in the rear. 4 cases with cystic component 鈮,

本文編號:1864023

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