涎腺肿块的超声分析与病理对照

Ultrasonographic Diagnosis of Salivary Mass and Comparison with Pathology

目的 通过对 5 4例涎腺肿块声像图的总结、分析及病理对照 ,进一步提高对涎腺肿块的认识和鉴别。方法 应用高频探头对 5 4例经手术和病理证实的涎腺肿块进行二维及彩色血流分析。结果 实性肿块 37例 ,囊实性肿块 10例 ,囊性肿块 7例。病理诊断为 :涎腺混合瘤 41例 ;乳头状淋巴囊腺瘤 3例 ;低度恶性粘液表皮样癌 1例 ;腺样囊性癌 1例 ;恶性混合瘤 1例 ;囊肿 7例。肿块的声像图表现与其病理组织结构密切相关。结论 不同病变类型 ,声像图表现各有特点 。

Object To obtain further knowledge of salivary mass through ultrasonography of 54 cases of salivary masses and comparison with pathology.Methods Ultrasonography in 54 patients with salivary mass verified by operation and pathology was studied retrospectively.Results There were 37,10 7 cases of solid, cystosolid,cystic masses respectively.41 cases were mixed tumor diagnosed by pathology,3 papillary cystadenoma lymphomatosum,1 low malignant mucoepidermoid tumor,1 adenoid cystic carcinoma, 1 malignant mixed tumor,7 cyst. The ultrasonographic characteristics of masses are closely related to the struture of pathologic tissue.Conclusion Every kind of salivary mass has its owm ultrasonographic characteristics. It's possible to differentiate one from another.