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患儿13岁,发现右阴囊逐渐肿大1年,伴疼痛,无畏寒发烧。体检:右阴囊肿大,皮肤发红,增厚,右侧未触及睾丸。超声检查:采用7.5MHz线阵式探头直接探测法检查,发现右侧阴囊肿大,回声不均,周边呈低回声,内可见网络状无回声管道,管道内可见云雾状光点漂动,管壁光滑,探头加压局部可变形。低回声团块中央可见右侧正常睾丸(图1、2)。拟右阴囊血管瘤,采用18G组织切割针,在超声引导下活检。病理诊断为右阴囊海绵状血管瘤。
Children 13 years old, found that the right scrotum gradually swollen 1 year, with pain, no fear of fever. Physical examination: swollen right scrotum, reddened skin, thickening, right side of the testicles not touched. Ultrasound examination: 7.5MHz line array probe direct detection method and found that the right side of the scrotum enlargement, echo uneven, low echo around the network can be seen within the echo-free pipe, the pipe visible cloud-like spot drift, tube The wall is smooth, the probe pressure can be partially deformed. The center of the hypoechoic mass shows the right normal testes (Figure 1, 2). To the right scrotal hemangioma, the use of 18G tissue cutting needle, biopsy under the guidance of ultrasound. Pathological diagnosis of cavernous hemangiomas of the right scrotum.