| 摘要: |
| 目的：探讨儿童眼眶横纹肌肉瘤超声声像图特点。方法：回顾性分析1例儿童眼眶横纹肌肉瘤及复发的临床资料并复习相关文献。结果：患者女岁6。发现右眼肿物半月余。入院术前超声检查：右眼眶近鼻侧探及大小约3.0cm×1.5cm的实性低回声团块边界尚清，欠规则回声不均匀，右眼球受压向外移位，双眼球内未见明显异常回声。CDFI:团块内探及丰富血流信号,PW可探及低速高阻动脉频谱，PSV:30cm/s,RI:0.8。诊断意见：右眼眶近鼻侧实性肿块考虑横纹肌肉瘤可能性大，泪腺多形性腺瘤(恶变）待排。患儿全麻下行右眼眶肿瘤摘除术,术后病理：(右眼肿物)恶性肿瘤，符合横纹肌肉瘤。结论：儿童眼眶横纹肌肉瘤较少见,其超声表现具有一定的特征性,掌握这些特征有助于超声医师对此病的诊断。 |
| 关键词: 横纹肌肉瘤 超声检查 眼眶肿瘤 |
| DOI： |
| 投稿时间：2019-06-20修订日期：2019-07-14 |
| 基金项目: |
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| Ultrasound diagnosis of orbital rhabdomyosarcoma in children with recurrence: a case report (with literature review) |
| wubiao |
| () |
| Abstract: |
| Objective: To study the ultrasonographic characteristics of orbital rhabdomyosarcoma in children. Methods: The clinical data of orbital rhabdomyosarcoma and recurrence in one child was retrospectively analyzed and the related literature was reviewed.Results: The patient was 6 years old.The right eye mass was found to be more than half a month. Ultrasound examination before surgery showed that a solid hypoechoic mass of about 3.0cm×1.5cm was detected near the nasal side of the right orbit, with clear boundary, irregular and uneven echoes. The right eye bulb was shifted outward under pressure, and no obvious abnormal echoes were observed in both eyes.CDFI: probe into the mass and rich blood flow signals; PW: probe into the low-speed and high-obstruction artery spectrum; PSV:30cm/s; RI:0.8.Diagnostic opinion: solid mass near nasal side of right orbit, considering high possibility of rhabdomyosarcoma, pleomorphic adenoma of lacrimal gland (malignant change) to be excluded.Postoperative pathology :(right eye mass) malignant tumor, consistent with rhabdomyosarcoma.Conclusion: Orbital rhabdomyosarcoma is rare in children, and its ultrasonographic manifestations have certain characteristics. Mastering these characteristics is beneficial for sonographers to diagnose this disease. |
| Key words: rhabdomyosarcoma ultrasonography examination orbital tumor |
