涎腺混合瘤与Warthin瘤超声造影表现及特征分析
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1.复旦大学附属闵行医院(上海市闵行区中心医院);2.上海交通大学附属第一人民医院

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国家自然科学基金资助项目(81571677);上海市闵行区自然科学研究课题(2019MHZ085);上海市松江区科技攻关项目(18sjkjgg42);上海市闵行区中心医院院级课题(2018MHLC07)


Contrast-enhanced ultrasonic manifestations and characteristics analysis of salivary gland pleomorphic adenomas and warthin tumors
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Department of Ultrasound,Minhang Hospital,Fudan University

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    摘要:

    目的 总结涎腺混合瘤与Warthin瘤的超声造影特征。方法 回顾性分析经超声造影检查并手术病理证实的17个涎腺混合瘤和16个Warthin瘤的超声造影特征。结果 混合瘤超声造影表现以同进(76.47%)、向心性(64.71%)、不均匀性(76.47%)、低增强(70.59%)为主,增强后边界清晰(88.24%),可见增强环(94.12%),增强后肿块范围不增大(88.24%)。Warthin瘤超声造影表现以快进(50%)、非向心性(87.5%)、不均匀性(62.5%)、高增强(56.25%)多见,增强后边界清晰、可见增强环和增强后肿块范围不增大(均为93.75%)。混合瘤与Warthin瘤的增强方向和增强强度比较差异有统计学意义(P<0.05)。结论 混合瘤与Warthin瘤的超声造影表现具有一定的特征性,增强方向和增强强度指标有助于二者的鉴别诊断。

    Abstract:

    Objective To summarize the contrast-enhanced ultrasonic characteristics of of pleomorphic adenomas and warthin tumors of salivary gland. Methods 17 pleomorphic adenomas and 16 warthin tumors underwent contrast-enhanced ultrasound examination and confirmed by surgical histopathology, were retrospectively analyzed. Result The contrast-enhanced ultrasonographic of pleomorphic adenomas were mainly synchronal (76.47%), centripetal (64.71%), inhomogeneity (76.47%) and hypo-enhancement (70.59%), with clear boundary after enhancement (88.24%), visible enhancement rim (94.12%), and no increase in the mass scope after enhancement (88.24%). Warthin tumors was characterized by fast fill-in (50%), non-centrality (87.5%), inhomogeneity (62.5%), and hyper-enhancement (56.25%). After enhancement, the boundary was clear, the enhancement rim was visible, and the mass scope was not increased (93.75%). There were statistically significant differences in the enhancement direction and enhancement intensity between pleomorphic adenomas and warthin tumors(P<0.05). Conclusion The contrast-enhanced ultrasound of pleomorphic adenomas and warthin tumors have certain characteristics, and the enhancement direction and enhancement intensity parameters are helpful to differentially diagnose pleomorphic adenomas and warthin tumors.

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韩明丽,王栋华,史秋生,陈红燕,朱慧,杜联芳.涎腺混合瘤与Warthin瘤超声造影表现及特征分析[J].临床超声医学杂志,2021,23(2):

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  • 收稿日期:2020-01-28
  • 最后修改日期:2020-02-19
  • 录用日期:2020-02-21
  • 在线发布日期: 2021-02-23
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