大腿增生性肌炎超聲表現(xiàn)1例
發(fā)布時(shí)間:2018-06-18 09:59
本文選題:增生性肌炎 + 大腿肌; 參考:《中國(guó)超聲醫(yī)學(xué)雜志》2013年11期
【摘要】:正患者女,58歲。自覺右大腿腫物5 d,無(wú)明顯誘因。體檢:右大腿中段可捫及一梭形腫物,境界不清晰,質(zhì)地較硬,固定,有壓痛,局部皮膚無(wú)紅腫潰爛。實(shí)驗(yàn)室檢查無(wú)明顯異常。高頻超聲掃查所見:右大腿中段可探及5.2 cm×1.5 cm×2.7 cm不均質(zhì)等回聲包塊,呈梭形,邊界欠清晰,縱切面,呈明顯粗大肌束樣回聲,與正常肌組織走形一致(圖1),橫切面,增厚的肌間隔呈龜裂紋狀(圖2),彩色多普勒血流顯像示少許血流信號(hào)。超聲提示:右大腿肌層實(shí)性包塊。該患者于局麻下手術(shù)切除腫塊,病理證實(shí)為增生性肌炎。
[Abstract]:The patient was 58 years old. Conscious right thigh tumor 5 days, there is no obvious inducement. Physical examination: right thigh can be palpable to a fusiform mass, the boundary is not clear, the texture is hard, fixed, tenderness, local skin without swelling and ulceration. There was no obvious abnormality in laboratory examination. High frequency ultrasound scan showed that the middle segment of the right thigh could be detected in the middle part of the right thigh, and the echoic mass of 5.2cm 脳 1.5cm 脳 2.7cm was similar to that of the normal muscle tissue (Fig. 1, transverse section), but the boundary was not clear, the longitudinal section was not clear, and the echo was obvious in the thick muscle bundle (Fig. 1). The thickened septum is a tortoise fissure (Fig. 2, color Doppler flow imaging shows a few blood flow signals). Ultrasonic indication: right thigh muscular layer solid mass. The patient underwent surgical resection of the mass under local anesthesia and was pathologically confirmed as hyperplastic myositis.
【作者單位】: 襄陽(yáng)職業(yè)技術(shù)學(xué)院附屬醫(yī)院功能科;
【分類號(hào)】:R445.1
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本文編號(hào):2035086
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