[原发性脾脏肿瘤的临床病理特征与治疗]
[Clinicopathologic features and treatment of primary splenic tumors].
作者信息
Bai Xiao-feng, Liang Jian-wei, Zhao Dong-bing, Shao Yong-fu, Zhao Ping
机构信息
Department of Abdominal Surgery, Cancer Hospital, Chinese Academy of Medical Sciences, Beijing 100021, China.
出版信息
Zhonghua Yi Xue Za Zhi. 2007 Jun 26;87(24):1673-5.
OBJECTIVE
To investigate the clinical pathological characteristics and treatment of primary splenic tumor.
METHODS
The clinical data of 43 patients with primary splenic rumors, 23 males and 20 females, aged 44.7 (19 - 66), treated in the Cancer Hospital, Chinese Academy of Medical Science from Feb 1972 through Mar 2006 were analyzed.
RESULTS
Of the 43 cases, 21 cases (48.8%) were found in physical examination. 42 cases underwent splenectomy and 1 case underwent rumor biopsy. Sixteen cases were with benign splenic tumors, including 15 cases of hemangioma and 1 case of lymphangioma. Of the 24 malignant cases, 16 suffered from splenic lymphoma and 8 from angiosarcoma. Most lymphoma cases survived and the mean three year surviving rate was 88.7%. The mean surviving time of angiosarcoma was only 10.4 months.
CONCLUSION
Primary splenic tumors lack specificity; B-ultrasonography and CT are primary examination methods. Surgery is an effective method in treatment of primary splenic tumors.
目的
探讨原发性脾肿瘤的临床病理特征及治疗方法。
方法
分析1972年2月至2006年3月在中国医学科学院肿瘤医院治疗的43例原发性脾肿瘤患者的临床资料，其中男性23例，女性20例，年龄44.7岁（19 - 66岁）。
结果
43例中，21例（48.8%）在体检时发现。42例行脾切除术，1例行肿瘤活检。16例为良性脾肿瘤，其中15例为血管瘤，1例为淋巴管瘤。24例恶性病例中，16例为脾淋巴瘤，8例为血管肉瘤。大多数淋巴瘤病例存活，平均三年生存率为88.7%。血管肉瘤的平均生存时间仅为10.4个月。
结论
原发性脾肿瘤缺乏特异性；B超和CT是主要检查方法。手术是治疗原发性脾肿瘤的有效方法。
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