El Demellawy Dina, Nasr Ahmed, Alowami Salem
Northern Ontario School of Medicine, William Osler Health Care, Pathology and Laboratory Medicine, 2301 Salcome Drive, Oakville, Ontario, Canada.
Pathol Res Pract. 2009;205(4):289-93. doi: 10.1016/j.prp.2008.12.007. Epub 2009 Jan 25.
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.
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。