摘要
目的探讨乳房外Paget病的高频彩色多普勒超声特征。方法对2015年1月至2019年10月在济宁医学院附属医院经病理证实的32例乳房外Paget病的高频彩色多普勒超声声像图特征进行回顾性分析。结果32例Paget病中,25例(阴囊21例、会阴4例)位于外阴,4例股内侧,1例下腹壁,1例肛周,1例颈部,3例伴有同侧腹股沟淋巴结转移,1例伴有双侧腹股沟淋巴结转移。高频超声检查显示6例无明显异常超声表现;26例皮损皮肤层增厚,根据病灶形态和高频超声表现分为弥漫型和肿块型,其中弥漫型21例,边界不清晰,形态不规则,肿块型5例,边界清晰,形态欠规则。18例病变内部呈实性均匀低回声,8例呈以实性低回声为主的不均质回声。26例中,病灶Adler血流分级0级2例,1级5例,2级8例,3级11例。结论乳房外Paget病的高频彩色多普勒超声表现具有一定的特征性,可为其临床诊断提供帮助。
Objective To explore high-frequency color Doppler ultrasound characteristics of extramammary Paget′s disease(EMPD).Methods From January 2015 to October 2019,32 patients with pathologically confirmed EMPD were collected from the Affiliated Hospital of Jining Medical University,and characteristics of their high-frequency color Doppler ultrasound images were retrospectively analyzed.Results Of the 32 lesions,25 were located on the external genitalia(21 on the scrotum,4 on the perineum),4 on the medial thigh,1 on the lower abdominal wall,1 in the perianal region,and 1 on the neck.Ipsilateral inguinal lymph node metastasis occurred in 3 patients,and bilateral inguinal lymph node metastasis in 1 patient.High-frequency ultrasonography showed no obvious abnormal ultrasound manifestations in 6 cases,and thickened skin lesions in 26 cases.According to the morphological and high-frequency ultrasound manifestations,26 skin lesions were classified into 2 types:21 diffuse-type lesions with unclear borders and irregular shapes,and 5 mass-type lesions with clear borders and irregular shapes.Solid and homogeneously hypoechoic areas were observed in 18 cases,and solid and heterogeneously hypoechoic areas in 8.According to the Adler blood flow classification,the 26 lesions were classified into 4 grades:2 of grade 0,5 of grade 1,8 of grade 2,and 11 of grade 3.Conclusion EMPD shows characteristic high-frequency color Doppler ultrasound manifestations,which can facilitate its clinical diagnosis.
作者
张磊
尹盼盼
周亚丽
段仰灿
Zhang Lei;Yin Panpan;Zhou Yali;Duan Yangcan(Department of Ultrasound,The Affiliated Hospital of Jining Medical University,Jining 272000,Shandong,China;Health Management Center,The Affiliated Hospital of Qingdao University,Qingdao 266000,China)
出处
《中华皮肤科杂志》
CAS
CSCD
北大核心
2021年第7期625-628,共4页
Chinese Journal of Dermatology
基金
山东省中医药科技发展计划项目(2019-0478)。
关键词
佩吉特病
乳腺外
超声检查
多普勒
彩色
诊断
Paget disease
extramammary
Ultrasonography
doppler
color
Diagnosis
作者简介
通讯作者:尹盼盼,E-mail:jyfyusypp_0827@163.com。
