先天性胸前区皮样瘘管（CDFACR）：超声检查对完整切除的作用
Congenital dermoid fistulas of the anterior chest region (CDFACR): usefulness of sonography for complete resection.
作者信息
Hosokawa Takahiro, Yamada Yoshitake, Takahashi Hiroaki, Sato Yumiko, Tanami Yutaka, Suzuki Keisuke, Kawashima Hiroshi, Oguma Eiji
机构信息
Department of Radiology, Saitama Children's Medical Center, 2100 Magome, Iwatsuki, Saitama 339-8551, Japan.
Department of Diagnostic Radiology, Keio University School of Medicine, Shinjuku, Tokyo, Japan.
出版信息
Radiol Case Rep. 2017 Jul 4;12(3):628-631. doi: 10.1016/j.radcr.2017.06.003. eCollection 2017 Sep.
Congenital dermoid fistulas of the anterior chest regions (CDFACRs) consist of a skin orifice at the anterior border of the sternocleidomastoid muscle with fistulas extending caudally in the subcutaneous tissue near the sternoclavicular joint. We report 2 pediatric CDFACR cases with pathognomonic sonography findings. By using sonography, we could diagnose the fistulas as CDFACRs by focusing on their location and direction and could reveal the distal side for complete resection. We suggest that sonography, which does not involve radiation or require sedation, is a better choice for the initial examination of CDFACRs than computed tomography or MRI.
先天性胸前区皮样瘘（CDFACR）表现为胸锁乳突肌前缘的皮肤开口，瘘管在胸锁关节附近的皮下组织中向尾侧延伸。我们报告2例具有特征性超声表现的小儿CDFACR病例。通过超声检查，我们能够通过关注瘘管的位置和走向将其诊断为CDFACR，并能显示远端以便完整切除。我们认为，超声检查不涉及辐射且无需镇静，对于CDFACR的初步检查而言，是比计算机断层扫描或磁共振成像更好的选择。
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