Department of Radiology, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea.
Department of Radiology, College of Medicine, The Catholic University of Korea, Seoul, Korea.
Korean J Radiol. 2020 Mar;21(3):341-355. doi: 10.3348/kjr.2019.0343.
Ultrasonography (US) is usually the first imaging examination performed to evaluate palpable or visible superficial soft tissue lesions that are common in children. Although clinical assessments, such as age at presentation, clinical course, and overlying skin discoloration, are important for the differentiation of pediatric soft tissue lesions, US allows a specific diagnosis of some typical benign lesions and helps in guiding further investigation since it provides detailed information about the lesion location, characterization including solid versus cystic, vascularity, and compressibility. Therefore, sufficient knowledge of the normal anatomy, proper ultrasonographic techniques, and the imaging findings of common and uncommon soft tissue lesions in children are crucial for accurate assessment and management of patients. In this article, we review the techniques and imaging findings focusing on the ultrasonographic features of a variety of superficial soft tissue lesions detected in children.
超声检查(US)通常是用于评估可触及或可见的常见于儿童的表浅软组织病变的首选影像学检查方法。尽管临床评估,如就诊时的年龄、临床病程和表面皮肤变色等,对于区分儿科软组织病变很重要,但 US 可以对一些典型的良性病变做出明确诊断,并有助于指导进一步检查,因为它提供了关于病变位置、特征(包括实性与囊性、血管分布和可压缩性)的详细信息。因此,充分了解正常解剖结构、适当的超声技术以及儿童常见和不常见的软组织病变的影像学表现对于准确评估和管理患者至关重要。在本文中,我们将回顾这些技术和影像学表现,重点介绍在儿童中检测到的各种表浅软组织病变的超声特征。