超声引导下穿刺活检在浆细胞瘤诊断中的临床应用

王攀; 金赟杰; 闻捷先; 季正标; 韩红; 王文平; 张晖

doi:10.12025/j.issn.1008-6358.2022.20220110

超声引导下穿刺活检在浆细胞瘤诊断中的临床应用

Clinical application of ultrasound-guided biopsy in the diagnosis of plasmacytoma

摘要

摘要:
目的探讨经超声引导下穿刺活检在浆细胞瘤诊断中的应用价值。
方法纳入2014年9月至2021年7月在复旦大学附属中山医院接受经超声引导下穿刺活检且病理诊断为浆细胞瘤的33例患者。总结其临床表现、影像学资料、穿刺后病理诊断及并发症, 分析超声引导下穿刺活检对该病的诊断价值。
结果 33例患者中, 病灶位于胸部21例(63.6%)、腹盆腔3例(9.1%)、头颈部2例(6.1%)、淋巴结3例(9.1%)、四肢及其他部位4例(12.1%)。穿刺成功率100%, 所有患者均取到足够的病理组织。术后1年随访过程中, 所有患者均无明显并发症发生。
结论对于临床疑似浆细胞瘤患者, 超声引导下穿刺活检安全、高效、便捷、诊断准确率高, 能为此类患者的早期准确诊断和后续有效治疗提供帮助。

Abstract:
Objective To investigate the clinical application of ultrasound-guided biopsy in the diagnosis of plasmacytoma.
Methods Thirty-three patients with plasmacytoma diagnosed by ultrasound-guided needle biopsy were included in Zhongshan Hospital, Fudan University from September 2014 to July 2021.The clinical manifestations, imaging data, pathological results, and complications of patients were summarized, and the effect of ultrasound-guided needle biopsy on the diagnosis of plasmacytoma was analyzed.
Results Lesion distribution was heterogeneous including 21(63.6%) in thoracic cavity, 3(9.1%) in abdominal pelvic, 2(6.1%) in head and neck region, 3(9.1%) in lymph node, 4(12.1%) in limbs and other regions.The ultrasound-guided needle biopsy was successful in all the patients, and adequate tissues were obtained from them.There was no obvious complications happened during the follow-up time of one year after ultrasound-guided biopsy.
Conclusions For the suspected plasmacytoma patients, ultrasound-guided needle biopsy is safe, efficient, convenient, and has high diagnosis accurate rate, which could provide help for early diagnosis and effective treatment.

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