Bai Xiao-feng, Liang Jian-wei, Zhao Dong-bing, Shao Yong-fu, Zhao Ping
Department of Abdominal Surgery, Cancer Hospital, Chinese Academy of Medical Sciences, Beijing 100021, China.
Zhonghua Yi Xue Za Zhi. 2007 Jun 26;87(24):1673-5.
To investigate the clinical pathological characteristics and treatment of primary splenic tumor.
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.
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.
Primary splenic tumors lack specificity; B-ultrasonography and CT are primary examination methods. Surgery is an effective method in treatment of primary splenic tumors.
探讨原发性脾肿瘤的临床病理特征及治疗方法。
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）。
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。
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。
