Colović R, Savić M, Sagić D
Srp Arh Celok Lek. 1991 Mar-Apr;119(3-4):107-12.
Nonparasitic true cysts of the spleen are rare, but not so rare as it has been thought. Thanks to the new imaging techniques, first of all ultrasonography, they are discovered easily and quickly. Usually, there is only one cyst. Rarely, the patient may have the polycystic liver and the kidney, and the pancreatic disease. We present four patients with nonparasitic true cysts of the spleen. There were three women and one man, 37-years-average age (range from 31 to 45 years). Three patients had solitary splenic cysts. In one patient a large dominant cyst and many small cysts up to 0.5 cm in diameter were found. All patients suffered from left subcostal pain. The size of cysts varied from 6 to 8.5 cm in diameter (average size of 7 cm). All patients were treated surgically by splenectomy, without complications or mortality. Histological findings revealed lyphangiomatic cysts in three patients and epidermoid cyst in one subject. All patients are symptom-free so far.
脾脏非寄生虫性真性囊肿罕见，但并非如人们过去认为的那样罕见。得益于新的成像技术，首先是超声检查，它们能够被轻松、快速地发现。通常情况下，囊肿只有一个。极少数情况下，患者可能同时患有多囊肝、多囊肾以及胰腺疾病。我们报告了4例脾脏非寄生虫性真性囊肿患者。其中有3名女性和1名男性，平均年龄37岁（年龄范围为31至45岁）。3例患者为孤立性脾囊肿。1例患者发现一个大的优势囊肿以及多个直径达0.5厘米的小囊肿。所有患者均有左季肋部疼痛。囊肿直径从6厘米至8.5厘米不等（平均大小为7厘米）。所有患者均接受了脾切除术，术后无并发症且无死亡病例。组织学检查结果显示，3例患者为淋巴管瘤样囊肿，1例为表皮样囊肿。目前所有患者均无症状。
