摘要
目的总结阴囊平滑肌瘤的临床表现、彩色多普勒超声特征、病理特点及诊治方法。方法总结1例阴囊平滑肌瘤患者的临床资料并进行文献复习。结果阴囊肿物彩色多普勒超声示阴囊下方中强回声肿物,其内回声不均匀。CDFI:其内可见丰富的血流,静脉血管内径0.31 cm,动脉血管内径0.24 cm。病理检查示灰粉结节样肿物1枚,大小12 cm×9 cm×7 cm,大部被皮肤,离断面面积3.5 cm×5 cm,离断面对侧皮肤溃烂,面积5.5 cm×5 cm,切面呈结节状,实性、质韧,部分区域略呈胶冻状。病理诊断:阴囊肿物,符合平滑肌瘤,伴黏液变性。结论阴囊平滑肌瘤临床罕见,是一种良性肿瘤,手术完整切除肿瘤,预后良好。
Objective To summarize the clinical manifestations,ultrasonographic features,pathological characteristics and treatment methods of scrotum leiomyoma.Methods The clinical data of 1 case of scrotal leiomyoma patient was analyzed and the relevant literature were reviewed.Results Color doppler ultrasound examination revealed a scrotal mass at bottom of the scrotum with strong,uneven echo.Rich blood flow could be found in the CDFI examination.The diameter of the vein inside the mass was 0.31 cm,while the diameter of arterial was 0.24 cm.A greyish powder nodular mass in the size of 12 cm×9 cm×7 cm was removed.The mass was mostly covered by skin,and the cross section area was 3.5 cm×5 cm.There was skin ulcer across the removal section.The cross section was hard with mixed nodular and solid texture.The pathological diagnosis was leiomyoma with mucinous degeneration.Conclusion Scrotal leiomyoma is a rare but benign tumor.The tumorcan be complete resected and the prognosis is good.
出处
《北京医学》
CAS
2013年第11期948-950,共3页
Beijing Medical Journal
