Machet L, Ossant F, Bleuzen A, Grégoire J-M, Machet M-C, Vaillant L
Service de Dermatologie, CHRU, Université François Rabelais, 37032 Tours.
J Radiol. 2006 Dec;87(12 Pt 2):1946-61. doi: 10.1016/s0221-0363(06)74180-4.
Although less precise than histological examination, high-resolution skin imaging is a noninvasive technique that provides complementary information to the clinical examination: the lesion's US structure as well as its lateral and depth extension. Ultrasonography helps in diagnosis and initial management by measuring melanoma thickness (so as to remove this lesion with safety margins) before destructive treatment (cryosurgery or radiotherapy), by showing tumor limits, or by detecting subclinical recurrence during the follow-up. In this paper, ultrasound images will be correlated with clinical and histological data in various clinical situations such as tumors, edema, cutaneous infiltration, sclerous tissues, hyperlaxity, and cutaneous aging.
尽管不如组织学检查精确，但高分辨率皮肤成像作为一种非侵入性技术，可为临床检查提供补充信息：病变的超声结构及其横向和深度扩展情况。超声检查有助于诊断和初始治疗，即在进行破坏性治疗（冷冻手术或放射治疗）之前测量黑色素瘤厚度（以便安全切除病变组织），显示肿瘤边界，或在随访期间检测亚临床复发情况。在本文中，超声图像将与各种临床情况下的临床和组织学数据相关联，这些临床情况包括肿瘤、水肿、皮肤浸润、硬化组织、皮肤松弛和皮肤老化。
