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脾脏肌样血管内皮瘤:1例罕见病例报告及文献复习

Myoid Angioendothelioma of the Spleen: A Rare Case Report and Literature Review.

作者信息

Geramizadeh Bita, Anbardar Mohammadhossein, Malekhosseini Seyed-Ali

机构信息

Department of Pathology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran; Transplant Research Center, Shiraz University of Medical Sciences, Shiraz, Iran.

Department of Pathology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

Iran J Med Sci. 2017 Jan;42(1):89-93.

Abstract

Most common tumors of the spleen are hematologic and lymphoid malignancies. Non-lymphoid and non-hematologic tumors of the spleen are very rare, the most common of which are vascular tumors. This group of tumors in the spleen is composed of heterogeneous tumors such as hemangioma, angioendothelioma (AE), littoral cell angioma, and angiosarcoma. There are several histologic forms of AE such as epithelioid AE, Kaposiform AE, and myoid AE. Among these splenic vascular tumors, myoid angioendothelioma (MAE) seems to be the least common type. It is a distinct tumor; composed of endothelium-derived tumor cells and a special type of stromal tumor cells that seems to have borderline low-grade malignant potential. Herein, we report our experience with a young woman presented with chronic abdominal pain and splenic mass that turned out to be myoid AE of spleen with an uneventful surgery and excellent recovery period. To the best of our knowledge, such an occurrence is very rare in the spleen.

摘要

脾脏最常见的肿瘤是血液系统和淋巴系统恶性肿瘤。脾脏的非淋巴和非血液系统肿瘤非常罕见,其中最常见的是血管肿瘤。脾脏的这组肿瘤由多种不同的肿瘤组成,如血管瘤、血管内皮瘤(AE)、边缘细胞血管瘤和血管肉瘤。AE有几种组织学类型,如上皮样AE、卡波西样AE和肌样AE。在这些脾脏血管肿瘤中,肌样血管内皮瘤(MAE)似乎是最不常见的类型。它是一种独特的肿瘤,由内皮来源的肿瘤细胞和一种特殊类型的间质肿瘤细胞组成,似乎具有临界低级别恶性潜能。在此,我们报告了一名年轻女性的病例,她因慢性腹痛和脾脏肿块就诊,最终被诊断为脾脏肌样AE,手术顺利,恢复期良好。据我们所知,这种情况在脾脏中非常罕见。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2687/5337771/f70a48b572d4/IJMS-42-89-g001.jpg

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