| 邵禹铭,吕珂,颜晓一,谭莉,陈天娇,姜玉新,张璟.侵袭性血管黏液瘤超声表现[J].中国介入影像与治疗学,2025,22(5):328-331 |
| 侵袭性血管黏液瘤超声表现 |
| Ultrasonic manifestations of aggressive angiomyxoma |
| 投稿时间：2025-03-05 修订日期：2025-05-15 |
| DOI：10.13929/j.issn.1672-8475.2025.05.006 |
| 中文关键词: 侵袭性血管黏液瘤 软组织肿瘤 超声检查 |
| 英文关键词:aggressive angiomyxoma soft tissue tumors ultrasonography |
| 基金项目:中央高水平医院临床科研专项（2022-PUMCH-B-065）。 |
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| 中文摘要: |
| 目的 观察侵袭性血管黏液瘤（AAM）超声表现。方法 回顾性纳入经病理证实的4例新发及3例复发AAM，观察病变超声表现。结果 7例AAM中，3例病变位于外阴皮下、2例位于外阴皮下及盆腔、1例位于盆腔、1例位于宫颈，中位最大径7.6 cm；主要表现为不均匀低回声、内部散在条索状中/中-高回声，形态规则或呈分叶状伴指状突起，边界清晰或与邻近阴道/直肠分界不清，灰阶超声及CDFI可见分层结构。结论 AAM好发于外阴及腹盆腔，病灶多较大，易向周围浸润形成指状突起，边界多清晰，内部以不均匀低回声为主，可见特征性分层结构。 |
| 英文摘要: |
| Objective To observe the ultrasonic manifestations of aggressive angiomyxoma （AAM）. Methods Four patients with newly diagnosed AAM and 3 with recurrent AAM confirmed by pathology were retrospectively enrolled， and the ultrasonic manifestations were analyzed. Results Among 7 cases of AAM， the lesions located in subcutaneous regions of perineum in 3 cases， in both perineum and pelvic cavity in 2 cases， in pelvic cavity and in cervix each 1 case， with a median maximum diameter of 7.6 cm. The lesions mainly manifested as heterogeneous hypoechoic， scattered cord-like moderate/moderate-hyperechoic inside， regular or lobulated shape with finger-like protrusions， with clear boundary or unclear boundary with adjacent vagina/rectum. Layered structure could be observed with gray-scale ultrasound and CDFI. Conclusion AAM mainly affected pelvis and perineal region， often manifested as large lesion tended to infiltrate surrounding areas and form finger-like protrusions， most with clear boundaries and interior heterogeneous hypoechoic regions， also the characteristic stratified structures. |
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