头颈部脉管肿瘤的超声诊断

doi:10.19438/j.cjoms.2022.06.001

中国口腔颌面外科杂志 ›› 2022, Vol. 20 ›› Issue (6): 521-526.doi: 10.19438/j.cjoms.2022.06.001

头颈部脉管肿瘤的超声诊断

龚霞, 李佳, 熊屏, 丁昂昂

上海交通大学医学院附属第九人民医院超声科,上海 200011

收稿日期:2022-01-04 修回日期:2022-08-08 出版日期:2022-11-20 发布日期:2022-11-20
通讯作者: 熊屏, E-mail: xiong_ping_xp@163.com
作者简介:龚霞（1987-）,女,在读博士研究生,主治医师,E-mail: gongxiafeng@163.com
基金资助:
上海市市级医院临床辅助科室能力建设项目（SHDC22015017）

Ultrasonography diagnosis of vascular tumors of the head and neck

GONG Xia, LI Jia, XIONG Ping, DING Ang-ang

Department of Ultrasound, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine. Shanghai 200011, China

Received:2022-01-04 Revised:2022-08-08 Online:2022-11-20 Published:2022-11-20

摘要/Abstract

摘要： 超声检查无创、便捷,可用于头颈部脉管肿瘤的辅助诊断、术前评估和随访病情变化。超声技术包括灰度成像、彩色多普勒成像、三维彩色频谱多普勒和弹性成像。本文根据国际脉管疾病研究学会（ISSVA）提出的脉管肿瘤新分类,回顾分析相关的临床和超声特征,包括婴幼儿和先天性血管瘤、化脓性肉芽肿、丛状血管瘤和卡波西样血管内皮瘤,旨在为临床诊疗提供参考。

关键词: 头颈部, 脉管肿瘤, 超声, 三维, 弹性超声

Abstract: Ultrasound is a non-invasive and convenient tool for diagnosis of vascular tumors of the head and neck, preoperative evaluation and follow-up of disease changes. Ultrasound technologies include grayscale imaging, color Doppler imaging, three dimensional color Doppler and elastography. This article summarized the ultrasound examination methods of these lesions based on the new classification of vascular lesions proposed by International Society for the Study of Vascular Anomalies(ISSVA), and reviewed the relevant clinical and ultrasound features including infantile and congenital hemangioma, pyogenic granuloma, tufted angioma and Kaposiform hemangioendothelioma, in order to provide an effective basis for clinical diagnosis and treatment.

Key words: Head and neck, Vascular tumors, Ultrasound, Three dimensional, Elastography

中图分类号:

R739.8

龚霞, 李佳, 熊屏, 丁昂昂. 头颈部脉管肿瘤的超声诊断[J]. 中国口腔颌面外科杂志, 2022, 20(6): 521-526.

GONG Xia, LI Jia, XIONG Ping, DING Ang-ang. Ultrasonography diagnosis of vascular tumors of the head and neck[J]. China J Oral Maxillofac Surg, 2022, 20(6): 521-526.

参考文献

[1] Bruckner AL, Frieden IJ.Hemangiomas of infancy[J]. J Am Acad Dermatol, 2003, 48(4): 477-493.
[2] 中华医学会整形外科分会血管瘤和脉管畸形学组. 血管瘤和脉管畸形的诊断和治疗指南(2019版)[J]. 组织工程与重建外科杂志, 2019, 15(5): 277-315.
Hemangioma and Vascular malformation Group, Plastic Surgery Branch, Chinese Medical Association. CSSVA guidelines for vascular anomalies 2019[J]. Journal of Tissue Engineering and Reconstructive Surgery, 2019, 15(5): 277-315.
[3] 郑家伟,张凌, 陈正岗. 婴幼儿血管瘤的诊断与治疗[J]. 中国口腔颌面外科杂志, 2015, 13(4): 289-297.
Zheng JW, Zhang L, Chen ZG.Diagnosis and treatment of infantile hemangiomas: current trends[J]. China Journal of Oral and Maxillofacial Surgery, 2015, 13(4): 289-297.
[4] Paltiel HJ, Burrows PE, Kozakewich HP, et al.Soft-tissue vascular anomalies: utility of US for diagnosis[J]. Radiol, 2000, 214(3): 747-754.
[5] Gorincour G, Kokta V, Rypens F, et al.Imaging characteristics of two subtypes of congenital hemangiomas: rapidly involuting congenital hemangiomas and non-involuting congenital hemangiomas[J]. Pediatr Radiol, 2005, 35(12): 1178-1185.
[6] Gong X, Hua C, Xiong P, et al.Conventional ultrasonography and elastography for the diagnosis of congenital and infantile hemangiomas[J]. J Dermatol, 2020, 47(5): 203-205.
[7] Johnson CM, Navarro OM.Clinical and sonographic features of pediatric soft-tissue vascular anomalies part 1: classification, sonographic approach and vascular tumors[J]. Pediatr Radiol, 2017, 47(9): 1184-1195.
[8] 马媛, 熊屏, 龚霞, 等. 二维及三维超声对婴幼儿血管瘤的诊断价值[J]. 中国超声医学杂志, 2017, 33(11): 978-981.
Ma Y, Xiong P, Gong X, et al.The diagnostic value of two-dimentional and three-dimentional ultrasound in infantile hemangiomas[J]. Chinese Journal of Ultrasound in Medicine, 2017, 33(11): 978-981.
[9] Shi H, Song H, Wang J, et al.Ultrasound in assessing the efficacy of propranolol therapy for infantile hemangiomas[J]. Ultrasound Med Biol, 2014, 40(11): 2622-2629.
[10] Bingham MM, Saltzman B, Vo NJ et al. Propranolol reduces infantile hemangioma volume and vessel density[J]. Otolaryngol Head Neck Surg, 2012, 147(2): 338-344.
[11] Kanada KN, Merin MR, Munden A, et al.A prospective study of cutaneous findings in newborns in the United States: correlation with race, ethnicity, and gestational status using updated classification and nomenclature[J]. J Pediatr, 2012, 161(2): 240-245.
[12] 龚霞, 李佳, 熊屏, 等. 先天性血管瘤的二维和三维超声影像学特点及意义[J]. 中华整形外科杂志, 2020, 36(8): 887-893.
Gong X, Li J, Xiong P, et al.Two-dimensional and three-dimensional ultrasonographic findings in congenital hemangioma[J]. Chinese Journal of Plastic Surgery, 2020, 36(8): 887-893.
[13] Dasgupta R, Fishman SJ.ISSVA classification[J]. Semin Pediatr Surg, 2014, 23(4): 158-161.
[14] Enjolras O.Congenital hemangiomas[J]. Ann Dermatol Venereol, 2003, 130(3): 367-371.
[15] North PE, Waner M, James CA, et al.Congenital non-progressive hemangioma: a distinct clinicopathologic entity unlike infantile hemangioma[J]. Arch Dermatol, 2001, 137(12): 1607-1620.
[16] North PE, Waner M, Mizeracki A, et al.GLUT1: a newly discovered immunohistochemical marker for juvenile hemangiomas[J]. Hum Pathol, 2000, 31(1): 11-22.
[17] Gorincour G, Kokta V, Rypens F, et al.Imaging characteristics of two subtypes of congenital hemangiomas: rapidly involuting congenital hemangiomas and non-involuting congenital hemangiomas[J]. Pediatr Radiol, 2005, 35(12): 1178-1185.
[18] Rogers M, Lam A, Fischer G.Sonographic findings in a series of rapidly involuting congenital hemangiomas (RICH)[J]. Pediatr Dermatol, 2002, 19(1): 5-11.
[19] Mulliken JB, Enjolras O.Congenital hemangiomas and infantile hemangioma: missing links[J]. J Am Acad Dermatol, 2004, 50(6): 875-882.
[20] Dubois J, Alison M.Vascular anomalies: what a radiologist needs to know[J]. Pediatr Radiol, 2010, 40(6): 895-905.
[21] Lee GK, Suh KJ, Lee JH, et al.Lobular capillary hemangioma in the soft tissue of the finger: sonographic findings[J]. Skeletal Radiol, 2010, 39(11): 1097-1102.
[22] Cantisani V, Del Vecchio A, Fioravanti E, et al.Color Doppler US features of a pyogenic granuloma of the upper dorsum tongue[J]. J Ultrasound, 2014, 19(1): 67-70.
[23] Kikusawa A, Oka M, Shimizu H, et al.Subcutaneous lobular capillary hemangioma with sonography and computed tomography findings[J]. Eur J Dermatol, 2012, 22(2):276-277.
[24] Colmenero I, Hoeger PH.Vascular tumours in infants. Part Ⅱ: vascular tumours of intermediate dignity and malignant tumours[J]. Br J Dermatol, 2014, 171(3): 474-484.
[25] Dubois J, Garel L, David M, et al.Vascular soft-tissue tumors in infancy: distinguishing features on Doppler sonography[J]. AJR Am J Roentgenol, 2002, 178(6): 1541-1545.
[26] Gong X, Ying H, Zhang Z, et al.Ultrasonography and magnetic resonance imaging features of kaposiform hemangioendothelioma and tufted angioma[J]. J Dermatol, 2019, 46(10): 835-842.
[27] Croteau SE, Liang MG, Kozakewich HP, et al.Kaposiform hemangioendothelioma: atypical features and risks of Kasabach-Merritt phenomenon in 107 referrals[J]. J Pediatr, 2013, 162(1): 142-147.
[28] Yuan SM, Shen WM, Chen HN, et al.Kasabach-Merritt phenomenon in Chinese children: report of 19 cases and brief review of literature[J]. Int J Clin Exp Med, 2015, 8(6): 10006-10010.
[29] Ryu YJ, Choi YH, Cheon JE, et al.Imaging findings of kaposiform hemangioendothelioma in children[J]. Eur J Radiol, 2017, 86: 198-205.
[30] Kollipara R, Dinneen L, Rentas KE, et al.Current classification and terminology of pediatric vascular anomalies[J]. AJR Am J Roentgenol, 2013, 201(5): 1124-1135.
[31] 龚霞, 李佳, 应涵汝, 等. 卡波西样血管内皮瘤的超声诊断[J]. 中国超声医学, 2018, 34(7): 644-647.
Gong X, Li J, Ying HR, et al.Sonographic diagnosis of kaposiform hemangioendothelioma[J]. Chinese Journal of Ultrasound in Medicine, 2018, 34(7): 644-647.

头颈部脉管肿瘤的超声诊断

Ultrasonography diagnosis of vascular tumors of the head and neck

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

本文评价

[1]	赵慧, 舒欣, 张帆, 任伟伟, 刘姣, 朱珠. 基于生物信息学和体外实验筛选头颈鳞癌生物标志物[J]. 中国口腔颌面外科杂志, 2024, 22(4): 329-338.
[2]	郭逸飞, 张永红, 任振虎. 头颈部肉瘤的诊断与治疗现状[J]. 中国口腔颌面外科杂志, 2024, 22(4): 404-408.
[3]	李永清, 张赟, 惠铄壹, 惠小勇, 许广杰, 杨霞, 肖伯承, 侯锐. 3种不同材料三维模型牙临床应用特点比较[J]. 中国口腔颌面外科杂志, 2024, 22(3): 239-244.
[4]	张芳, 寿卫东, 李妍. 医护协同下聚多卡醇泡沫硬化剂治疗头颈部静脉畸形疗效评价[J]. 中国口腔颌面外科杂志, 2024, 22(3): 274-278.
[5]	王延安, 秦中平, 郑家伟, 李春洁, 刘少华, 杨耀武, 陈刚, 陈伟良, 刘学键, 杜仲, 张雷, 王业飞, 王德明, 苏立新, 谢峰, 董长宪, 郭磊, 李凯, 顾松, 何悦, 张志愿. 头颈部血管瘤及脉管畸形手术治疗专家共识[J]. 中国口腔颌面外科杂志, 2024, 22(2): 105-117.
[6]	李晨曦, 丁艺, 刘慧, 龚忠诚, 张维娜, 赵化荣. 从循证医学角度探讨妊娠期头颈部癌症的治疗策略[J]. 中国口腔颌面外科杂志, 2024, 22(2): 118-127.
[7]	陈寅瑜, 陈霖, 徐凤, 邹子川, 葛良玉, 孟箭. 过继性T细胞疗法在头颈部鳞癌中的研究进展[J]. 中国口腔颌面外科杂志, 2024, 22(2): 192-197.
[8]	郭磊, 雷荣昌, 曲彬彬, 郭阁, 柴安, 罗莹. 拔牙时车针断入软腭内1例报告并文献复习[J]. 中国口腔颌面外科杂志, 2024, 22(2): 202-205.
[9]	李晨曦, 龚忠诚, 赵化荣, 丁明超, 刘慧. 肿瘤治疗电场在头颈部癌症中的应用前景[J]. 中国口腔颌面外科杂志, 2023, 21(5): 425-431.
[10]	程煜天, 徐乐, 马利, 吴海威, 陈占伟, 邹虎威, 张天奇, 刘桂军, 刘振兴, 尹长伟, 李文刚, 张世周, 黄圣运, 张东升. 头颈部腺样囊性癌预后分析：单中心经验[J]. 中国口腔颌面外科杂志, 2023, 21(5): 467-471.
[11]	刘雨, 陈羽菱, 林云涛, 杨宏宇. MAP7D3在头颈部鳞状细胞癌中的作用探讨[J]. 中国口腔颌面外科杂志, 2023, 21(4): 352-359.
[12]	陈悦, 毛艳. 基于体验的护患协同设计在头颈部肿瘤术后患者家庭肠内营养中的应用[J]. 中国口腔颌面外科杂志, 2023, 21(4): 366-371.
[13]	向富萍, 侯黎莉, 杨玲, 王钰, 梁家青. 头颈部肿瘤患者术后发生谵妄危险因素的meta分析[J]. 中国口腔颌面外科杂志, 2023, 21(4): 407-412.
[14]	陈铭韬, 樊奇, 张陈平, 张志愿, 季彤, 任振虎. 65例头颈部恶性肿瘤根治术后急性肺血栓栓塞症临床分析[J]. 中国口腔颌面外科杂志, 2023, 21(3): 258-262.
[15]	韩林孜, 周建华, 赵谦, 董磊, 陈正岗, 邱建忠, 袁荣涛. 肿瘤相关成纤维细胞对头颈部鳞状细胞癌肿瘤浸润免疫细胞的调控作用及机制探讨[J]. 中国口腔颌面外科杂志, 2023, 21(2): 119-124.