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Journal of Korean Society of Ultrasound in Medicine 1993 ; 12 (2) : p.268-272

(Sonographic evaluation of fibromatosis colli)
Sun Wha Lee, M.D., Kyung Nam Ryu, M.D.1, Ki Soon Park, M.D.2
Department of Radiology, College of Medicine, Ewha Womans University 1Kyung Hee University Hospital, 2 Hallym University
Congenital muscular torticollis is frequently associated with a sternocleidomastoid tumor, which is knownalternatively as fibromatosis colli. The sonographic appearance in 24 infants with fibromatosis colli was studied.The majority of the masses was on the right side. Sonographic evidence of a discrete mass lesion within thesternocleidomastoid muscle was detected in all 25 lesions. Sixteen masses involved both the sternal and calvicularportions. The masses predominantly involved the lower two thirds of the sternocleidomastoid muscle. Eighteenmasses (72%) had homogeneous echo-texture, which were hyperechoic in 15 cases and isoechoic in three cases. Seeven(28%) had patchy echo-texture. There was a higher incidence of patchy echo-texture in younger age group. Ahypoechoic rim surrounding the mass was frequently present (80%). In conclusion, we think ultrasonography is avaluable method for the diagnosis and evaluation of fibromatosis colli over clinical method. Further prospectiveand controlled sonographic evaluation of fibromatosis colli are needed to provide objective guidelines of themanagement of this disease.
Keyword : Neck,US
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