Georgia Masafumi, Rady Kirsty, Prince Henry Miles
Peninsula Health, Frankston Hospital, Victoria Melbourne, Victoria, Australia.
Centre of Blood Cell Therapies, Peter MacCallum Cancer Centre , Melbourne, Victoria, Australia.
Hematol Rep. 2015 Jun 8;7(2):5905. doi: 10.4081/hr.2015.5905. eCollection 2015 Jun 3.
Isolated splenic inflammatory pseudotumors (IPT) are extremely rare, typically benign, inflammatory lesions with varied clinical presentations that pose a diagnostic challenge to clinicians due to their similarity in appearance to neoplasms. We present the case of a young woman diagnosed with a splenic IPT following investigation for persistent anemia, raised inflammatory markers, and polyclonal hypergammaglobulinemia, whose symptoms resolved completely following splenectomy. This case highlights the need to consider this diagnosis when evaluating patients with a splenic mass of unknown etiology.
孤立性脾脏炎性假瘤(IPT)极为罕见,通常为良性炎性病变,临床表现多样,因其外观与肿瘤相似,给临床医生带来诊断挑战。我们报告一例年轻女性病例,该患者因持续性贫血、炎症标志物升高和多克隆高球蛋白血症接受检查后被诊断为脾脏IPT,脾切除术后症状完全缓解。该病例强调了在评估病因不明的脾脏肿块患者时需考虑这一诊断。