Correlation Between Ultrasound Typing and Pathological Manifestations of Pilomatricoma
10.3969/j.issn.1005-5185.2024.06.015
- VernacularTitle:毛母质瘤超声分型与病理表现的相关性
- Author:
Zheng WANG
1
;
Xiaodong LIU
;
Guangxiao XI
;
Weipu GENG
;
Qing WAN
;
Huixia JIANG
Author Information
1. 河南省中医院超声科,河南 郑州 450002
- Keywords:
Pilomatricoma;
Ultrasonography;
Pathology;
Correlation
- From:
Chinese Journal of Medical Imaging
2024;32(6):604-608
- CountryChina
- Language:Chinese
-
Abstract:
Purpose To investigate the ultrasound features and classification of pilomatricoma and its correlation with pathological manifestations.Materials and Methods The clinical,ultrasound and pathological data of 76 patients(78 lesions)postoperative confirmed pilomatricoma in Henan Province Hospital of Traditional Chinese Medicine and the the First Affiliated Hospital of Henan University of Traditional Chinese Medicine from July 2014 to August 2021 were analyzed,retrospectively.According to the presence or absence of calcification and the pattern of calcification in the sonogram,they were divided into no calcification type,dotted calcification type,sheet calcification type and complete calcification type.Results Pilomatricoma were most common in children under 10,with predilection location in the face and head.Most lesions were surrounded by hypoechoic halo and calcification,51 of 78 lesions had different degrees of calcification,accounting for about 65.4%;36 lesions were with hypoechoic halo;63 lesions were mainly hypoechoic,accounting for about 80.8%.There were statistical differences in hypoechoic halo(χ2=15.624,P=0.001)and internal echo(χ2=12.801,P=0.021)among different classification pilomatricoma.Shadow cells and basicyte were detected in all 78 lesions,basophil cells were found in the periphery of 50 out of 54 lesions showing hypoechoic halos.The ultrasound manifestations of different types had characteristic changes corresponding to their pathological composition.Conclusion The ultrasound performance varies among the different types of pilomatricoma,and there is a correlation with its pathological changes.Familiarization with the sonographic presentation of pilomatricoma in the different types contributes to the preoperative diagnosis.