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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 of the scrotal leiomyomata, color Doppler ultrasound features, pathological features and diagnosis and treatment methods. Methods One case of patients with scrotal leiomyoma was reviewed and reviewed. Results Scrotal mass color Doppler ultrasound in the middle of the scrotum showed strong echogenic mass, which echo uneven. CDFI: There is abundant blood flow seen inside, venous diameter 0.31 cm, and arterial diameter 0.24 cm. Pathological examination showed a nodular gray matter mass of 1 cm in size and 12 cm × 9 cm × 7 cm in size. Most of the nodules were cut off from the skin with a cross-sectional area of 3.5 cm × 5 cm. , Section nodular, solid, quality and toughness, some areas slightly jelly-like. Pathological diagnosis: scrotal tumor, in line with leiomyomata, with mucinous degeneration. Conclusions Scrotal leiomyoma is a rare clinical disease, which is a benign tumor. The tumor is completely resected by surgery and the prognosis is good.