阴茎包皮恶性黑色素瘤超声表现1例
Chinese Journal of Ultrasound Diagnosis(2006)
Abstract
患者男,83岁.2002年发现阴茎包皮有1枚黄豆大小结节,逐渐增大,2004年增大明显至鸽蛋大小来我院就诊,以"阴茎肿物"收入院.查体:阴囊无红肿,双侧睾丸、附睾无增大及触痛,无尿频、尿急、尿痛及血尿.阴茎中段包皮可触及一肿物,质地较硬,肿胀较明显,呈圆形,表面光滑,边界清晰,活动度尚可.彩色多普勒超声表现:阴茎中段包皮见一个大小约26 mm×24 mm实质不均质中等回声团块,边界清,有包膜,肿块与阴茎海绵体分界清晰,无明显关联.CDFI示肿快边缘较丰富线状血流信号,PD示动、静脉频谱,RI0.87~0.90(图1,2).左侧腹股沟处见多个稍低回声团,边界清,最大一个20 mm×18 mm.
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