腮腺多形性腺瘤和沃辛瘤的超声特征对比分析

金朋; 蒋翠萍; 陈松旺; 陈洁; 石岩; 张柳婷; 郭培杰

doi:10.19732/j.cnki.2096-6210.2022.02.011

您当前的位置：

首页 >

文章列表页 >

腮腺多形性腺瘤和沃辛瘤的超声特征对比分析

论著 | 更新时间：2025-12-15

- 腮腺多形性腺瘤和沃辛瘤的超声特征对比分析
- Comparative analysis of ultrasonic characteristics of pleomorphic adenoma and Warthin tumor of parotid gland　
- 肿瘤影像学 2022年31卷第2期页码：174-180
- 作者机构：
  
  1. 南京医科大学附属南京医院（南京市第一医院）超声科,江苏,南京,210012
  2. 南京医科大学附属肿瘤医院放疗科,江苏,南京,210009
  3. 滨州医学院附属医院超声科,山东,滨州,256699
- 作者简介：
- 基金信息：
- DOI：10.19732/j.cnki.2096-6210.2022.02.011
  中图分类号：
- 网络出版：2022-04-28，
  
  纸质出版：2022-04-28
- 稿件说明：
移动端阅览
金朋,蒋翠萍,陈松旺,等. 腮腺多形性腺瘤和沃辛瘤的超声特征对比分析[J]. 肿瘤影像学, 2022, 31(2): 174-180 https://doi.

org/10.19732/j.cnki.2096-6210.2022.02.011
金朋,蒋翠萍,陈松旺,等. 腮腺多形性腺瘤和沃辛瘤的超声特征对比分析[J]. 肿瘤影像学, 2022, 31(2): 174-180 https://doi. DOI： 10.19732/j.cnki.2096-6210.2022.02.011.

org/10.19732/j.cnki.2096-6210.2022.02.011 DOI：

摘要

目的：

探讨超声鉴别诊断腮腺多形性腺瘤和沃辛瘤（Warthin tumor，WT）的临床价值。

方法：

回顾并分析经超声检查并经手术后病理学检查确诊的45例腮腺多形性腺瘤和71例腮腺WT患者资料，选择两组患者的性别、年龄、是否多发、病灶长径、短径、长短径之比、形态、边界、内部回声高低、内部回声均匀性、囊病变、网状条索、钙化、后方回声和血流分级等指标，通过绘制受试者工作特征（receiver operating characteristic，ROC）曲线分析超声指标对腮腺WT的诊断效能。

结果：

两组患者在性别、年龄、是否多发、病灶长径、长短径之比、形态、内部回声高低、内部回声均匀性、囊性变、网状条索、后方回声和血流分级指标上差异有统计学意义（

＜0.05）。根据曲线下面积（area under the curve，AUC）筛选出鉴别诊断价值最高的3项超声特征分别为网状条索、血流分级和长短径之比。网状条索诊断WT的灵敏度68.49%，特异度95.56%，AUC为0.820；血流分级诊断WT的灵敏度76.56%，特异度71.43%，AUC为0.740；长短径之比以1.51为截断值，诊断WT的灵敏度65.80%，特异度80.00%，AUC为0.708。

结论：

腮腺多形性腺瘤和WT的超声表现具有显著差异，特别是当肿瘤内出现网状条索、血流分级为Ⅱ~Ⅲ级、长短径之比大于1.51时，应考虑可能为WT。

Abstract

Objective:

To evaluate the clinical value of ultrasonography in the differential diagnosis of pleomorphic adenoma and Warthin tumor (WT) in parotid gland.

Methods:

Forty-five pleomorphic adenomas and seventy-one WT were confirmed by surgical histopathology after the ultrasonography process. And the parameters including gender

age

multifocality

maximum diameter

minimu

m diameter

maximum and minimum diameter ratio

shape

margin

echogenicity

heterogeneity

cystic degeneration

reticular cord

calcification

posterior echogenicity and grades of vascularity were retrospectively compared between the groups mentioned above. The receiver operating characteristic (ROC) curve was also plotted to analyze the diagnostic efficacy of ultrasonic indicators of WT in parotid gland.

Results:

Gender

age

multifocality

maximum diameter

maximum and minimum diameter ratio

shape

echogenicity

heterogeneity

cystic degeneration

reticular cord

posterior echogenicity and grades of vascularity were the significant factors for differentiating WT from pleomorphic adenoma. Three ultrasonic features with high value of differential diagnosis filtrated according to the area under curve (AUC) were reticular cord

grades of vascularity and maximum and minimum diameter ratio. The sensitivity and specificity of reticular cord in differentiation of WT from pleomorphic adenoma were 68.49% and 95.56%. The AUC was 0.820. The sensitivity and specificity of grades of vascularity were 76.56% and 71.43%. The AUC was 0.740. When the cutoff value was 1.51

the sensitivity and specificity of maximum and minimum diameter ratio were 65.80% and 80.00%. The AUC was0.708.

Conclusion:

There are significant differences in ultrasonic features between pleomorphic adenoma and WT. Reticular cord

grades Ⅱ-Ⅲ of vascularity and the maximum and minimum diameter ratio greater than 1.51 are important characteristics of WT.

关键词

Keywords

references

浏览量

853

下载量

CNKI被引量

文章被引用时，请邮件提醒。

提交

工具集

关联资源

放射组学模型鉴别腮腺多形性腺瘤与沃辛瘤

2024年中国肝病超声临床研究年度进展

2022年甲状腺超声诊治研究进展

二维超声及超声造影在腹膜后节细胞神经瘤诊断中的价值

C-TIRADS联合人工智能辅诊系统对甲状腺结节良恶性的诊断价值