下頜部腫塊，做了超聲，結果看的不太明白，能幫忙看一下嗎？

是不是說，有可能是pleomorphic adenoma 或者異常增大淋巴結，然後還需要做活檢或者別的檢查？很擔心，不知道會不會是什麽嚴重的問題？

 

Findings

A 2.0 X 1.7 X 1.4 cm WELL-CIRCUMSCRIBED hypoechoic structure with posterior enhancement and associated vascularity is seen in the left neck submandibular region, corresponding to the area of palpable abnormality.  This appears to be located within the submandibular gland, given the “claw” sign, though it is possible that the structure is immediately adjacent with mass effect. There is no definite fatty hilum, and the structure is ovoid rather than reniform. No other masses are seen in the immediately adjacent region.

 

Impression:

2.0 x 1.7 x 1.4 CM  hypoechoic structure in the left submandibular region., potentially within the submandibular gland. Give vascularity, structure most likely solid, and thus could represent a submandibular gland lesion such as pleomorphic adenoma, or an alternative consideration would be an immediately adjacent mass such as an enlarged abnormal lymph  node. Correlate clinically, and consider FNA. Follow up ultrasound and/or further evaluation with cross-sectional imaging could also be considered.

 

所有跟帖： 

• 下頜部腫塊99%是良性的。 -gweipwu- ♂ (102 bytes) () 04/10/2018 postreply 13:25:34

• 多謝。還會再去看醫生，看是否需要在做進一步檢查。 -GDmom- ♀ (0 bytes) () 04/10/2018 postreply 13:30:40

• 當然需要FNA 進行細胞學的診斷。 -lucy2008liu- ♀ (0 bytes) () 04/10/2018 postreply 19:50:34