Lado Lado F L, Páramo de Vega M, Torre Carballada J A, Lois Pernas A, Abdulkader I
Servicio de Medicina Interna, Hospital Clínico Universitario de Santiago, Santiago de Compostela, A Coruña.
An Med Interna. 2004 Jun;21(6):279-82. doi: 10.4321/s0212-71992004000600005.
Splenic inflammatory pseudotumour has been defined as a benign tumour reactive lesion with unspecified reparative or inflammatory alterations. It is a mimicking tumour often confused with other pathologies, primarily, lymphoproliferative disorders. Though its aetiology remains unknown, these tumours are often associated to infectious agents such as the Epstein-Barr virus. We describe a case of a 29 year-old patient with a history of infectious mononucleosis, followed by fever, weight loss, and splenomegaly. Splenectomy detected a homogeneous, whitish 2 cm node diagnosed as splenic inflammatory pseudotumour. The clinical features and diagnosis of this disorder are discussed in relation to the histopathological findings.
脾脏炎性假瘤被定义为一种具有未明确的修复性或炎性改变的良性肿瘤反应性病变。它是一种常与其他病理状况,主要是淋巴增殖性疾病相混淆的模仿性肿瘤。尽管其病因尚不清楚,但这些肿瘤常与诸如爱泼斯坦-巴尔病毒等感染因子有关。我们描述了一例29岁患者,有传染性单核细胞增多症病史,随后出现发热、体重减轻和脾肿大。脾切除术发现一个2厘米大小、均质、白色的结节,诊断为脾脏炎性假瘤。结合组织病理学发现对该疾病的临床特征和诊断进行了讨论。