毛母质瘤的甚高频B型超声声像图模式浅析
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摘要
目的探讨甚高频B型超声仪下毛母质瘤的声像图模式。方法回顾性分析34例经手术及病理证实为毛母质瘤患者的甚高频超声声像图资料,总结该病的甚高频超声仪检测下毛母质瘤的声像图模式,并用152例新患者154处皮损来验证该声像图模式对于检测毛母质瘤的敏感性和特异性。结果甚高频超声仪检测下毛母质瘤声像图表现为分布于头面部或颈部的真皮深层及皮下低回声病灶,其长轴与身体长轴一致,且内部伴有钙化、周边低回声晕及后方声影,且该钙化灶多在0. 08~0. 29mm之间,瘤体距离表皮大致为0. 45~5mm,瘤体测量(长×宽)大致为8~12mm×3~8mm。其对于检测毛母质瘤的敏感性和特异性分别为85. 71%(42/49)和88. 35%(91/103)。结论甚高频超声仪检测毛母质瘤具有较高的临床应用价值。
Objective To explore the ultrasonographic model of pilomatricoma under the veryhigh-frequency(VHF) B type ultrasonoscope. Methods The VHF ultrasonographic data of 34 patients who were diagnosed as pilomatricoma via surgeries and pathologies were analyzed. The ultrasonographic model of pilomatricoma under the VHF ultrasonoscope was summarized,the detecting of sensitivity and specificity of pilomatricoma was verified based on 152 new patients' 154 skin lesions. Results Pilomatricoma under the VHF distributed in the deep dermis and subcutaneously hypoechoic niduses on the head or neck,and their long axes were consistent with the body' s long axes.There were calcification,with the length of 0. 08 ~ 0. 29 mm,peripheral hypoechoic halo and posterior shadowing in inner niduses; and the distance between the tumors and epidermis was 0. 45 ~ 5 mm,the size of tumor was about 8 ~ 12 mm × 3 ~ 8 mm. The sensitivity and specificity of the ultrasonographic model for pilomatricoma were85. 71%(42/49) and 88. 35%(91/103),respectively. Conclusion The VHF ultrasonoscope has a high clinical value on detecting pilomatricoma.
Objective To explore the ultrasonographic model of pilomatricoma under the veryhigh-frequency(VHF) B type ultrasonoscope. Methods The VHF ultrasonographic data of 34 patients who were diagnosed as pilomatricoma via surgeries and pathologies were analyzed. The ultrasonographic model of pilomatricoma under the VHF ultrasonoscope was summarized,the detecting of sensitivity and specificity of pilomatricoma was verified based on 152 new patients' 154 skin lesions. Results Pilomatricoma under the VHF distributed in the deep dermis and subcutaneously hypoechoic niduses on the head or neck,and their long axes were consistent with the body' s long axes.There were calcification,with the length of 0. 08 ~ 0. 29 mm,peripheral hypoechoic halo and posterior shadowing in inner niduses; and the distance between the tumors and epidermis was 0. 45 ~ 5 mm,the size of tumor was about 8 ~ 12 mm × 3 ~ 8 mm. The sensitivity and specificity of the ultrasonographic model for pilomatricoma were85. 71%(42/49) and 88. 35%(91/103),respectively. Conclusion The VHF ultrasonoscope has a high clinical value on detecting pilomatricoma.
引文
[1]张静漪,何英.50例毛母质瘤高频超声特征分析[J].重庆医学,2014,43(14):1799-1801.
[2]洪晓纯,王强.毛母质瘤MRI误诊的总结分析[J].放射学实践,2015,30(7):725-727.
[3]黄长征,田进,杨凌云,等.毛母质瘤40例临床病理分析[J].中国麻风皮肤病杂志,2007,23(4):286-289.
[4]Roche NA,Monstrey SJ,Matton GE.Pilomatricomma in children:common but of ten misdiagnosed[J].Acta Chir Belg,2010,110(2):250-254.
[5]刘慧,卢蕊,周克松,等.毛母质瘤的超声特点分析[J].临床超声医学杂志,2011,13(7):490-491.
[6]轩维锋.毛母质瘤的病理特征与超声表现[J].临床超声医学杂志,2011,13(11):771-772.
[7]万晋州,张静漪,何英.50例毛母质瘤高频超声特征分析[J].重庆医学,2014,43(14):1799-1801.
[8]樊慧丽.超声诊断毛母质瘤临床价值[J].医学声像图学杂志,2016,26(4):705-708.
[9]Guinot Moya R,Valmaseda Castellon E,Berini Aytes L,et al.Pilomatrixoma Review of 205 cases[J].Med Oral Patol Oral Cir Bucal,2011,16(4):e552-555.
[10]Connor N,Patel M,Umar T,et al.Head and neck pilomatricoma:an analysis of 201 cases[J].Br J Oral Maxillofac Surg,2011,49(5):354-358.
[11]Kakarala K,Brigger MT,Faquin WC,et al.Cystic pilomatrixoma:a diagnostic challenge[J].Arch Otolaryngol Head Neck Surg,2010,136(8):830-833.
[12]Ali MJ,Honavar SG,Naik MN,et al.Malherbe's calcifying epithelioma(pilomatrixoma):an uncommon periocular tumor[J].Int J Trichology,2011,3(1):31-33.
[13]李晓英,何彧,蒋国平,等.小儿毛母质瘤的超声诊断[J].中国医学声像图学杂志,2007,15(6):460-461.
[14]Choo HJ,Lee SJ,Lee YH,et al.Pilomatricomas:the diagnostic value of ultrasound[J].Skeletal Radiol,2010,39(3):243-250.
[15]Klein W,Chan E,Seykora JT,et al.Tumors of the epidermal appendages[M]//Elder DE,Elenitsas R,Johnson BL,et al.Lever's Histopathology of the Skin.9thed.Philadelphia:Lippincott-Raven,2005:929-881.
[16]印剑,王长松,范乃军,等.钙化上皮瘤的病理特征分析[J].中国实用医刊,2012,39(12):22-23.
[17]傅强,崔立刚,陈文,等.钙化上皮瘤的超声诊断[J].中国超声医学杂志,2013,29(8):758-760.
[18]Choo HJ,Lee YH.Pilomatricomas:the diagnostic value of ultrasound[J].Skeletal Radiol,2010,39(3):243-250.
[19]Hwang JY,Lee SW,Lee SM,et al.The common ultrasonographic festures of pilomatricoma[J].J Ultrosound Med,2005,24(10):1397-1402.
[20]Solivetti FM,Elia F,Drusco A,et al.Epithelioma of malherbe:new ultrasound patterns[J].Exp Clin Cancer Res,2010,29:42.
[2]洪晓纯,王强.毛母质瘤MRI误诊的总结分析[J].放射学实践,2015,30(7):725-727.
[3]黄长征,田进,杨凌云,等.毛母质瘤40例临床病理分析[J].中国麻风皮肤病杂志,2007,23(4):286-289.
[4]Roche NA,Monstrey SJ,Matton GE.Pilomatricomma in children:common but of ten misdiagnosed[J].Acta Chir Belg,2010,110(2):250-254.
[5]刘慧,卢蕊,周克松,等.毛母质瘤的超声特点分析[J].临床超声医学杂志,2011,13(7):490-491.
[6]轩维锋.毛母质瘤的病理特征与超声表现[J].临床超声医学杂志,2011,13(11):771-772.
[7]万晋州,张静漪,何英.50例毛母质瘤高频超声特征分析[J].重庆医学,2014,43(14):1799-1801.
[8]樊慧丽.超声诊断毛母质瘤临床价值[J].医学声像图学杂志,2016,26(4):705-708.
[9]Guinot Moya R,Valmaseda Castellon E,Berini Aytes L,et al.Pilomatrixoma Review of 205 cases[J].Med Oral Patol Oral Cir Bucal,2011,16(4):e552-555.
[10]Connor N,Patel M,Umar T,et al.Head and neck pilomatricoma:an analysis of 201 cases[J].Br J Oral Maxillofac Surg,2011,49(5):354-358.
[11]Kakarala K,Brigger MT,Faquin WC,et al.Cystic pilomatrixoma:a diagnostic challenge[J].Arch Otolaryngol Head Neck Surg,2010,136(8):830-833.
[12]Ali MJ,Honavar SG,Naik MN,et al.Malherbe's calcifying epithelioma(pilomatrixoma):an uncommon periocular tumor[J].Int J Trichology,2011,3(1):31-33.
[13]李晓英,何彧,蒋国平,等.小儿毛母质瘤的超声诊断[J].中国医学声像图学杂志,2007,15(6):460-461.
[14]Choo HJ,Lee SJ,Lee YH,et al.Pilomatricomas:the diagnostic value of ultrasound[J].Skeletal Radiol,2010,39(3):243-250.
[15]Klein W,Chan E,Seykora JT,et al.Tumors of the epidermal appendages[M]//Elder DE,Elenitsas R,Johnson BL,et al.Lever's Histopathology of the Skin.9thed.Philadelphia:Lippincott-Raven,2005:929-881.
[16]印剑,王长松,范乃军,等.钙化上皮瘤的病理特征分析[J].中国实用医刊,2012,39(12):22-23.
[17]傅强,崔立刚,陈文,等.钙化上皮瘤的超声诊断[J].中国超声医学杂志,2013,29(8):758-760.
[18]Choo HJ,Lee YH.Pilomatricomas:the diagnostic value of ultrasound[J].Skeletal Radiol,2010,39(3):243-250.
[19]Hwang JY,Lee SW,Lee SM,et al.The common ultrasonographic festures of pilomatricoma[J].J Ultrosound Med,2005,24(10):1397-1402.
[20]Solivetti FM,Elia F,Drusco A,et al.Epithelioma of malherbe:new ultrasound patterns[J].Exp Clin Cancer Res,2010,29:42.