Berry Catharine, Charnock Mark
University Hospitals of Leicester NHS Trust, Leicester Royal Infirmary, Leicester, UK.
Sheffield Teaching Hospitals NHS Foundation Trust, Northern General Hospital, Sheffield, UK.
Ultrasound. 2024 Sep 18:1742271X241275136. doi: 10.1177/1742271X241275136.
Imaging appearances and clinical presentation of soft tissue sarcoma and soft tissue haematomas are similar. It is imperative that sarcoma is differentiated from benign soft tissue lesions due to the poor outcomes and high morbidity associated with sarcoma.
Part 1 of this pictorial review will summarise the paucity of guidance in management of suspected haematomas, the clinical features and ultrasound techniques used in the assessment of soft tissue masses.
Ultrasound is the first-line test in the investigation of soft tissue masses. With the overlapping ultrasound appearances of soft tissue sarcoma and soft tissue haematoma, thorough and methodical clinical examination and scanning technique is fundamental so that practitioners understand when to escalate cases for further investigation.
The clinical assessment and clinical history taking into consideration the intensity of trauma and ecchymosis must correlate with the ultrasound appearances. This will facilitate an accurate diagnosis, timely management and improved patient outcomes.
软组织肉瘤和软组织血肿的影像学表现及临床表现相似。由于肉瘤预后不佳且发病率高，因此必须将肉瘤与良性软组织病变区分开来。
本图片综述的第1部分将总结在疑似血肿管理方面指导意见的匮乏、软组织肿块评估中使用的临床特征和超声技术。
超声是软组织肿块检查的一线检查方法。由于软组织肉瘤和软组织血肿的超声表现重叠，全面且有条不紊的临床检查和扫描技术至关重要，以便从业者了解何时将病例升级进行进一步检查。
考虑到创伤强度和瘀斑的临床评估和病史采集必须与超声表现相关。这将有助于准确诊断、及时管理并改善患者预后。
