下颌部肿块,做了超声,结果看的不太明白,能帮忙看一下吗?

是不是说,有可能是pleomorphic adenoma 或者异常增大淋巴结,然后还需要做活检或者别的检查?很担心,不知道会不会是什么严重的问题?

 

Findings

A 2.0 X 1.7 X 1.4 cm WELL-CIRCUMSCRIBED hypoechoic structure with posterior enhancement and associated vascularity is seen in the left neck submandibular region, corresponding to the area of palpable abnormality.  This appears to be located within the submandibular gland, given the “claw” sign, though it is possible that the structure is immediately adjacent with mass effect. There is no definite fatty hilum, and the structure is ovoid rather than reniform. No other masses are seen in the immediately adjacent region.

 

Impression:

2.0 x 1.7 x 1.4 CM  hypoechoic structure in the left submandibular region., potentially within the submandibular gland. Give vascularity, structure most likely solid, and thus could represent a submandibular gland lesion such as pleomorphic adenoma, or an alternative consideration would be an immediately adjacent mass such as an enlarged abnormal lymph  node. Correlate clinically, and consider FNA. Follow up ultrasound and/or further evaluation with cross-sectional imaging could also be considered.

 

所有跟帖: 

下颌部肿块99%是良性的。 -gweipwu- 给 gweipwu 发送悄悄话 gweipwu 的博客首页 (102 bytes) () 04/10/2018 postreply 13:25:34

多谢。还会再去看医生,看是否需要在做进一步检查。 -GDmom- 给 GDmom 发送悄悄话 (0 bytes) () 04/10/2018 postreply 13:30:40

当然需要FNA 进行细胞学的诊断。 -lucy2008liu- 给 lucy2008liu 发送悄悄话 lucy2008liu 的博客首页 (0 bytes) () 04/10/2018 postreply 19:50:34

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