Analysis of Sources, Purposes and Presentations of Soft-Tissue Masses referred for Ultrasonography

針對軟組織腫塊被轉介施行超音波評估之回溯性分析

洪偉哲(Wei-Jhe Hong) ； 邱瑩明(Ying-Ming Chiu)

《Formosan Journal of Rheumatology》 27卷2期 (2013/12) Pp. 44-50

https://doi.org/10.6313/FJR.2013.27(02).04

摘要

目的：軟組織腫塊於臨床上並不少見，但是常無法第一時間就得到適當的診斷。因此，不少患者會被轉介安排超音波做進一步評估與追蹤。本研究的立意是希望瞭解開單科別的來源與目的以及針對這些病灶做基本的分析。方法：自2009年1月至2013年6月期間，總共有187名患者接受檢查。所有相關的病歷內容、轉介目的與超音波報告均被完整地瀏覽和紀錄。結果：於這187名患者，女性佔100位而男性則為87位。平均年齡為44.29歲，年紀最小的為3個月大，最年長的則為94歲。病灶平均的大小為2.41公分，分佈小至0.30公分而最大達7.70公分。結果顯示以背部與下肢的病灶數最多。脂肪瘤為最常見超音波確診病灶，其次為腱鞘與表皮囊腫。整體以及個別病灶的流行病學分析（好發年紀，性別，比例與分佈情形）均與先前其他大規模而未經超音波介入的研究相仿。此外，我們亦瀏覽曾探討軟組織超音波應用以及可信度的文章。結論：本篇研究描述在台灣單一醫學中心其超音波檢查於軟組織腫塊應用的情況，以及對檢查結果的基本分析。

關鍵字

超音波 ； 影像學 ； 軟組織腫塊 ； 軟組織

並列摘要

Objective: Soft-tissue masses are common and difficult to accurately diagnosis initially. Therefore, many patients are referred for sonographic study and clinical follow-up. Here, we aimed to analyze the sources, purposes and presentations of those referred. Methods: We analyzed 187 patients referred for evaluation of soft-tissue masses using high-resolution ultrasonography between January 2009 and June 2013. All electronic medical records, reasons for referral, and ultrasonographic reports were reviewed. Results: The study comprised 100 female and 87 male patients aged from 0.25 to 94 years old (mean age, 44.29 years old). Dermatology department referred the majority of the patients, followed by rheumatology. The mean size of lesions was 2.41 cm with a range of 0.30 to 7.70 cm. Lesions (n=187) were usually located on the back (n=36) and lower limbs (n=36). Lipoma was the most commonly diagnosed lesion (n=73), followed by ganglion cyst (n=18) and epidermoid inclusion cyst (n=14). The epidemiology of lesions in this study (age, sex, size, proportion and distribution) resembled with that of a large population study conducted without ultrasonographic intervention. Benefits of ultrasound intervention were also discussed in this study. Conclusion: This study describes the benefit of ultrasonography in soft-tissue masses detection and describes the presentation of soft-tissue masses related in a single medical center in Taiwan.

並列關鍵字

ultrasonography ； imaging ； soft-tissue masses ； soft tissue