幼年性黄色肉芽肿的超声特征

doi:10.3969/j.issn.1671-7171.2025.12.018

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摘要 【目的】探讨幼年性黄色肉芽肿(juvenile xanthogranuloma,JXG)的超声特征。【方法】收集2018年1月至2025年1月在本院行手术切除并经病理证实的25例JXG患儿的超声图像资料,分析JXG患儿的超声特征。【结果】25例JXG患儿中,皮肤型黄色肉芽肿(cutaneous juvenile xanthogranuloma,CJXG)22例,超声图像主要表现为皮下软组织单发或多发、低回声肿块,边界清晰,形态规则,部分肿块内可见线状强回声光带,肿块内部血流信号以点状或无血流信号为主;系统型黄色肉芽肿(systemic juvenile xanthogranuloma,SJXG)3例,其中累及肝脏3例、肾脏1例、胰腺1例,主要表现为不同器官单发或多发、均质或不均质、低回声肿块,部分肿块内可见线状强回声光带,肿块内部可见点状血流信号。【结论】JXG超声特征具有一定的特异性,对于辅助诊断JXG具有一定的临床价值。

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	黄婷
	胡原
	刘金桥

关键词 ：黄肉芽肿, 青少年性, 超声检查, 诊断,鉴别

Abstract：【Objective】 To explore the ultrasonic features of juvenile xanthogranuloma (JXG). 【Methods】 The ultrasonic image data of 25 children with JXG, who underwent surgical resection and were pathologically confirmed in our hospital from January 2018 to December 2025, were collected, and the ultrasonic features of JXG in children were analyzed. 【Results】 Among the 25 children with JXG, 22 cases were cutaneous juvenile xanthogranuloma (CJXG), and the main ultrasonic manifestations were single or multiple hypoechoic nodules in the subcutaneous soft tissue with clear boundaries and regular shapes. Some nodules had linear hyperechoic bands inside, and the blood flow signals inside the nodules were mainly punctate or no blood flow signals. Three cases were systemic juvenile xanthogranuloma (SJXG), involving in the liver 3 cases, in the kidney 1 case, and in the pancreas 1 case. The main manifestations were single or multiple homogeneous or heterogeneous hypoechoic nodules in different organs, with some nodules having linear hyperechoic bands inside and punctate blood flow signals inside. 【Conclusion】 The ultrasonic features of JXG have certain specificity and have clinical value for the auxiliary diagnosis of JXG.

Key words： Xanthogranuloma, Juvenile Ultrasonography Diagnosis, Differential

收稿日期: 2025-08-11

中图分类号:

R725.976

通讯作者: *E-mail:13786137823@163.com

引用本文:

黄婷, 胡原, 刘金桥. 幼年性黄色肉芽肿的超声特征[J]. 医学临床研究, 2025, 42(12): 2079-2081.
HUANG Ting, HU yuan, LIU Jinqiao. Ultrasound Features of Juvenile Xanthogranuloma in Children. JOURNAL OF CLINICAL RESEARCH, 2025, 42(12): 2079-2081.

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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2025.12.018 或 http://journal07.magtech.org.cn/yxlcyj/CN/Y2025/V42/I12/2079

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