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患者女,31岁。于2个月前发现左小腿背侧中段肿物,压痛明显,长时间站立可出现肿胀。超声检查:左侧小腿中段比目鱼肌内探及4.9cm×3.1cm×4.6cm低回声团块,形态不规则,边界不清,内回声不均质,周边可见多发斑片状强回声,后方伴声影;中心部位呈低回声区,内见较丰富血流信号,探及动静脉血流频谱,其内血管延伸至周围肌层内(图1~2)。超声提示:左小腿比目鱼肌实性肿物,性质待定。术中见:肿物呈褐色,包膜完整,质硬。病理结果:骨化性肌炎,伴血管瘤样增生。
Female patient, 31 years old. 2 months ago found the middle of the left dorsal medial mass, tenderness significantly, standing for a long time there may be swelling. Ultrasonography: the left lower mid-leg soleus muscle exploration and 4.9cm × 3.1cm × 4.6cm hypoechoic mass, irregular shape, the boundary is not clear, the internal echo is not homogeneous, the surrounding can be seen with multiple patchy hyperechoic, rear with Acousto-optic; the central part of the hypoechoic area, see more abundant blood flow signals, exploration and arteriovenous flow spectrum, which extends to the vascular inside the muscular layer (Figure 1 and 2). Ultrasonic Tip: Left calf soleus solid tumors, nature to be determined. See surgery: the tumor was brown, complete capsule, hard. Pathological findings: ossifying myositis, with hemangio-like hyperplasia.