腹膜间皮瘤的超声诊断

目的　 探讨腹膜间皮瘤的超声声像图特征及其声像图表现与大体病理改变的关系。方法　 总结 1 4例腹膜间皮瘤的超声检查结果 ,并将其声像图表现与大体病理改变相对照。结果　 腹膜间皮瘤的超声声像图表现为腹膜呈片状增厚 2例 ,腹膜不规则结节样肿块 1例 ,网膜呈“饼样”增厚 5例 ,盆腔肿块 8例 (其中 2例合并有腹部肿块 ) ,下腹部肿块 1例 ,肠管粘连 1例 ,腹水 1 3例。结论　 当超声检查发现腹膜呈片状增厚或不规则结节样肿块时 ,应考虑该病的可能性。此外 ,超声引导下穿刺病理学检查有助于术前明确诊断

Ultrasonographic Diagnosis of Peritoneal Mesothelioma

OBJECTIVE: To investigate the sonographic features of peritoneal mesothelioma and its relationship with the gross pathology. METHODS: The ultrasonographic results of 14 cases with peritoneal mesothelioma were summarized, the sonographic features were compared with the gross pathology. RESULTS: With ultrasound examination a sheetlike mass was seen in two patients and a localized irregular mass was seen in one. Involvement of "cakelike omentum" was present in five. Pelvic mass was seen in eight and two were also with abdominal mass; one presented abdominal mass only. Bowel adhesion was found in one. Ascites was presented in all patients except one. CONCLUSIONS: It is possible for ultrasonography to suggest the diagnosis of peritoneal mesothelioma, when the sheetlike or irregular mass of peritoneum was founded. Ultrasound guided biopsy was helpful in diagnosis of peritoneal mesothelioma before operation.