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Fibromatosis Colli: Correlation between Sonographic Findings and Clinical Outcome |
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Soo Ah Im, M.D. Mi Sook Sung, M.D., Kyoung Hee Noh, M.D., Won Jong Yu, M.D., Joo Hyun Park, M.D.*, Myung Hee Chung, M.D., Hae Giu Lee, M.D. |
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Department of Radiology and Rehabilitation Medicine*, College of Medicine, The Catholic University of Korea |
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PURPOSE : To evaluate the relationship between sonographic findings and clinical outcome of fibromatosis colli.
MATERIALS and METHODS : Sonograms and medical records of thirty nine infants with fibromatosis colli were
retrospectively reviewed for sonographic features (location, shape, AP dimension of the lesion, lesion-SCM
ratio and echopattern) and follow-up data (duration of treatment, functional and clinical outcome after physical
therapy).
RESULTS : Lesions were located in either the lower two third (19cases) or lower one third (20cases) of the
sternocleidomastoid muscle. Thirteen cases (33%) involved only the sternal portion of the sternocleidomastoid
muscle while no cases involved only the clavicular portion of the sternocleidomastoid muscle was seen.
Twenty-six (67%) cases involved both sternal and clavicular portions. Thirty-four infants had a mass in the
sternocleidomastoid muscle while 5 infants had only diffuse muscle enlargement without a definite mass.
The echogenicity of the lesion were hyperechoic in 20 cases, isoechoic in 9, hypoechoic in 3 and patchy
echo-texture in 7 cases. The duration of treatment was shorter, and functional result was more satisfactory in
the group with the diffuse muscle enlargement. The longer duration of treatment was required in patients
with a larger size, larger L-S (lesion-SCM) ratio and patchy echo-texture of the lesion.
CONCLUSION : Sonographic evaluation of fibromatosis colli provided a good predictive guideline of the duration
of treatment and result after physical therapy. |
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Keyword : Fibromatosis Neck, US |
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pdf파일 : 325-330임수아.pdf
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