[脾组织自体移植：诊断不足的病症]
[Splenosis: underdiagnosed entity].
作者信息
Echenique Elizondo M, Arrosagarav J, Sanz Jaka J P
机构信息
Servicio de Urología, Hospital de Mendaro, Guipúzocoa, España.
出版信息
Arch Esp Urol. 2001 Dec;54(10):1133-5.
OBJECTIVE
To report a case of renal splenosis in a patient that had previously undergone splenectomy due to traumatic rupture.
METHODS/RESULTS: A 42-year-old patient consulted for pancreatitis. A CT scan disclosed a mass behind the tail of pancreas, MRI assessment with gadolinium enhancement showed a left renal mass which was surgically resected. Histopathological analysis of the surgical specimen demonstrated splenic tissue.
CONCLUSIONS
Splenosis should be considered in splenectomized patients with lesions compatible with tumors and should be distinguished from hyperplasia of accessory spleens.
目的
报告一例既往因外伤性破裂行脾切除术患者发生肾内脾组织异位的病例。
方法/结果：一名42岁患者因胰腺炎前来就诊。CT扫描显示胰腺尾部后方有一肿块，钆增强MRI评估显示左肾有一肿块，遂行手术切除。手术标本的组织病理学分析显示为脾组织。
结论
对于脾切除术后出现与肿瘤相符病变的患者，应考虑脾组织异位，并应与副脾增生相鉴别。
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