Szpor Joanna, Dyduch Grzegorz
Department of Pathomorphology, Collegium Medicum, Jagiellonian University, Kraków.
Pol J Pathol. 2008;59(1):33-41.
Vascular benign lesions are the most common non-hematological splenic primary tumors. Although rare they may sometimes pose problems in differential diagnosis, because of their morphologic heterogeneity. We present vascular lesions of the spleen, which were found in archive of the Chair of Pathomorphology. Immunohistochemistry including CD34, CD31, factor VIII, CD8, CD21, CD68, lysosyme, GLUT-1, D2-40, VEGFR3, SMA, Ki67 were performed. 8 benign vascular lesions were identified, including two hamartomas, two lesions representing sclerosing angiomatoid nodular transformation (SANT) and four hemangiomas. We present briefly the spectrum of vascular lesions occurring in the spleen and discuss differential diagnosis and nosological status of selected lesions.
血管性良性病变是最常见的非血液学脾脏原发性肿瘤。尽管罕见,但由于其形态学异质性,它们有时可能在鉴别诊断中带来问题。我们展示了在病理形态学教研室存档中发现的脾脏血管性病变。进行了免疫组织化学检测,包括CD34、CD31、因子VIII、CD8、CD21、CD68、溶菌酶、葡萄糖转运蛋白1(GLUT-1)、D2-40、血管内皮生长因子受体3(VEGFR3)、平滑肌肌动蛋白(SMA)、Ki67。共识别出8例良性血管性病变,包括2例错构瘤、2例表现为硬化性血管瘤样结节性转化(SANT)的病变和4例血管瘤。我们简要介绍了脾脏中出现的血管性病变谱,并讨论了所选病变的鉴别诊断和疾病分类状况。