超声造影诊断脾脏多发转移瘤1例

Multiple Metastatic Tumors of Spleen Diagnosed by Contrast-Enhanced Ultrasonography: A Case Report

摘要: 报告一例经超声造影诊断的脾脏多发转移瘤病例。该患者以糖尿病入院，腹部彩超检查诊断脾脏多发实质性占位(转移瘤？)，经超声造影诊断符合脾脏多发转移瘤表现。查找原发病灶，胸腹部增强CT诊断：右肺周围型肺癌；脾多发低密度影，考虑脾转移瘤。超声造影作为一种新技术，无放射性、无肝肾毒性，简便、快捷，应用于脾脏占位性病变的诊断及鉴别诊断，能为临床提供重要诊断依据。

Abstract: A case of multiple splenic metastasis diagnosed by contrast-enhanced ultrasound was reported. The patient was admitted with diabetes mellitus, presenting multiple parenchymal masses of spleen (metastatic tumor?) in abdominal ultrasonography, and the diagnosis of multiple metastatic tumors of the spleen was confirmed by contrast-enhanced ultrasonography (CEUS). The primary lesion of peripheral lung cancer of the right lung with splenic metastasis presenting multiple low density shadows in the spleen was diagnosed by chest and abdominal enhanced CT. As a new technique, CEUS provides important diagnostic evidence in the diagnosis and differentiation of splenic occupying lesions with advantages of non-radioactivity, no toxicity of liver and kidney, convenient and fast.