Suzumura Kazuhiro, Okada Toshihiro, Satake Makoto, Fujimito Jiro
Department of Surgery, Hyogo College of Medicine, Hyogo, Japan.
Hepatogastroenterology. 2011 Nov-Dec;58(112):1909-11. doi: 10.5754/hge10250.
We report two cases of inflammatory pseudotumor of the spleen treated by laparoscopic splenectomy. The first patient was a 61-year-old woman with a 3cm splenic tumor detected incidentally by ultrasonography. Computed tomography showed a well-demarcated splenic mass. She underwent hand-assisted laparoscopic splenectomy. The second patient was a 51-year-old man in whom a splenic tumor was found on follow-up computed tomography after resection of occipital malignant neurinoma. Ultrasound and magnetic resonance imaging confirmed a splenic tumor, which showed no uptake on 18F-fluorodeoxyglucose positron emission tomography. Laparoscopic splenectomy was performed. The histopathological diagnosis was inflammatory pseudotumor in both cases. Their postoperative course was uneventful, with a postoperative hospital stay of 11 and 8 days, respectively. Splenectomy is usually performed in patients with splenic tumors because imaging techniques cannot exclude malignancy. Laparoscopic splenectomy may be a useful option for patients with splenic tumors.
我们报告两例经腹腔镜脾切除术治疗的脾脏炎性假瘤病例。首例患者为一名61岁女性，超声偶然发现脾脏有一个3厘米的肿瘤。计算机断层扫描显示脾脏肿块边界清晰。她接受了手辅助腹腔镜脾切除术。第二例患者是一名51岁男性，在枕部恶性神经鞘瘤切除术后的随访计算机断层扫描中发现脾脏肿瘤。超声和磁共振成像证实为脾脏肿瘤，18F-氟脱氧葡萄糖正电子发射断层扫描显示无摄取。进行了腹腔镜脾切除术。两例病例的组织病理学诊断均为炎性假瘤。他们的术后病程平稳，术后住院时间分别为11天和8天。由于影像学检查无法排除恶性肿瘤，脾脏肿瘤患者通常会接受脾切除术。腹腔镜脾切除术可能是脾脏肿瘤患者的一个有用选择。
