Kim Ki-Han, Lee Seul, Youn Soon Hwa, Lee Mi Ri, Kim Min Chan, Rha Seo-Hee, Jung Ghap Joong
Department of Surgery, Dong-A University College of Medicine, Busan, Korea.
J Korean Surg Soc. 2011 Jun;80 Suppl 1(Suppl 1):S59-62. doi: 10.4174/jkss.2011.80.Suppl1.S59. Epub 2011 Jun 17.
Primary splenic tumors are rare and mainly found incidentally on radiologic studies. Among them, sclerosing angiomatoid nodular transformation (SANT) of the spleen is a new entity defined as a benign pathologic lesion. Most SANTs have no clinical symptoms and are occasionally accompanied by other splenic diseases such as malignancies. So, the exact diagnosis of the nature of the splenic tumor is mandatory for further treatment. But, preoperative diagnosis is not easy since it is difficult to obtain the tissue from the spleen for pathological study. Recently, laparoscopic splenectomy has become the more standard procedure for the spleen for diagnosis and treatment. Here, we report a rare case of SANT diagnosed following laparoscopic splenectomy.
原发性脾脏肿瘤较为罕见，主要在影像学检查时偶然发现。其中，脾脏硬化性血管瘤样结节性转化（SANT）是一种新定义的良性病理病变。大多数SANT没有临床症状，偶尔会伴有其他脾脏疾病，如恶性肿瘤。因此，准确诊断脾脏肿瘤的性质对于进一步治疗至关重要。但是，术前诊断并不容易，因为很难从脾脏获取组织进行病理研究。近年来，腹腔镜脾切除术已成为诊断和治疗脾脏疾病更为标准的手术方式。在此，我们报告一例腹腔镜脾切除术后诊断为SANT的罕见病例。
