| 摘要: |
| 摘 要 目的 总结侵袭性纤维瘤病的超声表现，提高超声对其的认识。方法 回顾性分析我院31例经手术病理证实的侵袭性纤维瘤病的临床、超声及病理资料，总结其超声特征。结果 31例患者共34个病灶，按照发生部位分为腹壁型（8个）、腹外型（13个）、乳腺型（13个）。腹壁型和腹外型超声多表现为膨胀性生长，椭圆形，沿肌肉长轴走行，边界清晰，后方回声增强，内部少见钙化及液化，内部血流Ⅱ~Ⅲ级；乳腺型超声多表现为“爪”型浸润性生长，形态不规则，边界不清，后方回声衰减，内部少见钙化，内部血流Ⅱ~Ⅲ级。结论 侵袭性纤维瘤病的超声表现具有一定特征，可为临床提供了术前诊断及鉴别诊断信息。 |
| 关键词: 高频超声 侵袭性纤维瘤病 病理学 诊断 鉴别 |
| DOI： |
| 投稿时间：2019-12-23修订日期：2020-12-08 |
| 基金项目:国家自然科学基金青年科学基金(81401427) |
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| The application of high-frequency ultrasound in the diagnosis of aggressive fibromatosis |
| dongye,peng xiaojing,deng jing,hu yu,ye xinhua,hang jing,li ao |
| () |
| Abstract: |
| Abstract Objectives Summarize the ultrasound features of aggressive fibromatosis （AF） to improve the diagnosis of the disease.Methods Clinical，ultrasound and pathological data of 31 patients confirmed by surgically and pathologically as AF in our hospital were retrospectively analyzed, and summarize its ultrasound characteristics. Results The 34 lesions in 31 cases included in this group were classified into extra-abdominal type（13 cases），abdominal wall type（8 cases） and the breast type（10 cases） according to the location of the mass.The ultrasound characteristics of extra-abdominal type and abdominal wall type are always expressed as expansive growth，oval，growing along the long axis of the muscle，Clear boundary，enhanced echo behind the lesions，rare calcification and liquefaction，Internal blood flow Alder II-III.The ultrasound characteristics of the breast type are always expressed as "claw" invasive growth，Irregular form，Unclear boundary，echo attenuation at the back of the lesions，rare calcification，Internal blood flow Alder II-III.Conclusions AF features certain characteristic ultrasound manifestations，and also provide preoperative diagnosis and differential diagnosis information for the clinic. |
| Key words: High-frequency ultrasound Aggressive fibromatosis Pathology Diagnosis differential |
