Hsu Chao-Wen, Lin Chieh-Hsin, Yang Tsung-Lung, Chang Hong-Tai
Division of Colorectal surgery, Department of Surgery, Kaohsiung Veteran General Hospital, Kaohsiung City, 81346, Taiwan, China.
World J Gastroenterol. 2008 Nov 7;14(41):6421-4. doi: 10.3748/wjg.14.6421.
Splenic tumors are rare. Differentiation of the tumors before operation is of great value regarding the outcome. A case of a 32-year-old man with a splenic inflammatory pseudotumor (IPT) mimicking splenic angiosarcoma is described. The tumor was highly suspected of being splenic angiosarcoma based on radiological findings preoperatively. However, after splenectomy, histopathological examinations revealed splenic IPT. Splenic IPT and angiosarcoma are rare and often pose diagnostic difficulties because the clinical and radiological findings are obscure. Due to large differences in prognosis, we briefly reviewed the clinical, radiological, and pathological features of both of the tumors.
脾脏肿瘤较为罕见。术前对肿瘤进行鉴别对于预后具有重要价值。本文描述了一例32岁男性脾脏炎性假瘤（IPT）酷似脾脏血管肉瘤的病例。术前基于影像学检查结果，该肿瘤高度怀疑为脾脏血管肉瘤。然而，脾切除术后，组织病理学检查显示为脾脏IPT。脾脏IPT和血管肉瘤均很罕见，且由于临床和影像学表现不明确，常常造成诊断困难。由于两者预后差异很大，我们简要回顾了这两种肿瘤的临床、影像学及病理学特征。
