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脾脏硬化性血管瘤样结节性转化:病例报告

Sclerosing angiomatoid nodular transformation of the spleen: case report.

作者信息

El Demellawy Dina, Nasr Ahmed, Alowami Salem

机构信息

Northern Ontario School of Medicine, William Osler Health Care, Pathology and Laboratory Medicine, 2301 Salcome Drive, Oakville, Ontario, Canada.

出版信息

Pathol Res Pract. 2009;205(4):289-93. doi: 10.1016/j.prp.2008.12.007. Epub 2009 Jan 25.

Abstract

Sclerosing angiomatoid transformation of the spleen (SANT) is a relatively new, rare, and unique lesion that involves the spleen. Less than 30 cases have been described to date. The lesion commonly affects middle-aged adults and shows a female predilection. It is often discovered incidentally through imaging. SANT is morphologically and immunohistochemically distinct. However, as it is a relatively new entity, misdiagnosis of SANT may lead to overtreatment of the patients. The pathogenesis of SANT is unknown. The lesion is entirely benign, and splenectomy is curative. We report a new case of SANT, with emphasis on the differential diagnosis and pathogenesis of SANT.

摘要

脾脏硬化性血管瘤样转化(SANT)是一种相对较新的、罕见且独特的累及脾脏的病变。迄今为止,报道的病例不足30例。该病变常见于中年成年人,女性更为多见。它常通过影像学检查偶然发现。SANT在形态学和免疫组织化学方面具有独特性。然而,由于它是一个相对较新的疾病实体,SANT的误诊可能导致患者接受过度治疗。SANT的发病机制尚不清楚。该病变完全为良性,脾切除术可治愈。我们报告一例新的SANT病例,重点关注SANT的鉴别诊断和发病机制。

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