目的:探讨手部鳞状细胞癌的声像图表现及超声在其术后随访中的意义。方法:使用高频超声观察11例手部鳞状细胞癌的声像图特点,并对其进行术后随访。结果:11例患者中,6例向基底部浸润较深,声像图表现为形态不规则的软组织内肿物;5例无基底部浸润,病灶局限,声像图表现为形态规则,边界清晰的肿物。随访中有7例1 a内发生转移,其中4例死亡,1例失去随访,其余3例1 a中无变化。结论:手部鳞状细胞癌声像图表现多样,缺乏明显的特异性改变,最终需要病理明确诊断,作为高病死率疾病,超声的密切随访尤为重要。 Objective: To investigate the sonography of hand squamous cell carcinoma and the significance of ultrasound in its follow-up. Methods: The ultrasonographic features of 11 cases of squamous cell carcinoma of the hand were observed with high frequency ultrasound and followed up. Results: Of the 11 patients, 6 showed deep infiltration into the basal part, and the sonographic findings showed irregular soft tissue tumors. In 5 cases, there was no infiltration of the basal part and the lesions were limited. The sonography showed regular morphology with clear boundary The tumor. During the follow-up, 7 cases had metastases within 1 year, of which 4 cases died and 1 case was lost. The remaining 3 cases did not change in 1 year. CONCLUSIONS: Squamous cell carcinoma of the hand presents diverse sonograms with no obvious specific changes and finally requires a definite pathological diagnosis. As a high-fatality disease, close follow-up of ultrasound is particularly important.