Gritzmann N, Schratter M, Traxler M, Helmer M
Center for Radiodiagnostic, University of Vienna, Austria.
J Ultrasound Med. 1988 Aug;7(8):451-6. doi: 10.7863/jum.1988.7.8.451.
Nineteen deep cervical lipomas and five patients with cervical lipomatosis were examined with computed tomography (CT) and Sonography. By means of CT, which is the imaging method of choice for both diseases, it is possible to differentiate between circumscribed lipomas and infiltrating intramuscular lipomas. In addition, an exact localization in parenchymatous organs is possible. Cervical lipomatosis is also clearly delineated. Sonography is the first imaging method in cervical swelling or lesions; therefore, knowledge of the sonomorphology of fatty tumors is mandatory. Cervical lipomas have a fairly typical sonomorphology, but it is not as pathognomonic as the density values are by means of CT. In cervical lipomatosis, an adequate pretherapeutic assessment of the depth of infiltration is not possible sonographically. Only the cervical vessels can be clearly differentiated in this condition.
对19例颈部深部脂肪瘤和5例颈部脂肪过多症患者进行了计算机断层扫描（CT）和超声检查。CT是这两种疾病的首选成像方法，通过CT可以区分边界清楚的脂肪瘤和浸润性肌内脂肪瘤。此外，还可以在实质器官中进行精确的定位。颈部脂肪过多症也能清晰显示。超声是颈部肿胀或病变的首选成像方法；因此，了解脂肪性肿瘤的超声形态学是必不可少的。颈部脂肪瘤具有相当典型的超声形态学表现，但不像CT密度值那样具有特征性。在颈部脂肪过多症中，超声无法对浸润深度进行充分的治疗前评估。在这种情况下，只能清晰区分颈部血管。
