A bump: what to do next? Ultrasound imaging of superficial soft-tissue palpable lesions

Journal of Ultrasound - Tập 23 - Trang 287-300 - 2019
Orlando Catalano1, Carlo Varelli1, Carolina Sbordone2, Antonio Corvino3, Dario De Rosa1, Gianfranco Vallone4, Ximena Wortsman5
1Radiology Unit, Istituto Diagnostico Varelli, Naples, Italy
2Department of Medicine and Health Science “Vincenzo Tiberio”, Molise University, Campobasso, Italy
3Department of Movement and Wellness Sciences, University of Naples Parthenope, Naples, Italy
4Department of Advanced Biomedical Sciences, University of Naples “Federico II”, Naples, Italy
5Department of Dermatology, Institute for Diagnostic Imaging and Research of the Skin and Soft Tissues Clinic, University of Chile and Pontifical Catholic University of Chile, Santiago, Chile

Tóm tắt

Soft-tissue palpable lesions are common in clinical practice, and ultrasound (US) represents the first imaging option in the evaluation of a patient with a soft-tissue swelling. A full and systematic US assessment is necessary, however. This includes grayscale, color- and power-Doppler, spectral-Doppler, and possibly elastography facilities, as well as a trained operator. Several lesions showing characteristic US features can be diagnosed confidently, without any further work-up, and the high spatial resolution of ultrasound in the superficial layers can be a powerful tool to discriminate their etiologies. Second-level options, to be reserved for indeterminate cases or those suspected malignant at initial ultrasound, include magnetic resonance imaging, percutaneous fine-needle aspiration or biopsy, and surgical-excision biopsy. In this article, we discuss the proper US approach for addressing superficial soft-tissue lesions.

Tài liệu tham khảo

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