Bushati Matilda, Sommariva Antonio, Montesco Maria Cristina, Rossi Carlo Riccardo
Department of Surgical Oncology, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy.
Pathology Unit, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy.
J Minim Access Surg. 2017 Oct-Dec;13(4):309-311. doi: 10.4103/jmas.JMAS_95_16.
Sclerosing angiomatoid nodular transformation (SANT) is a rare, benign, proliferative vascular lesion that arises from the splenic red pulp. Most patients with SANT have no clinical symptoms and are discovered incidentally on imaging. There are no definitive radiological signs and a distinction from other splenic diseases, and malignant processes remain difficult. Confirmation of the diagnosis of SANT requires a histological and immunohistochemical evaluation of the resected spleen. Here, we report an unusual case of SANT of the spleen successfully treated with an elective laparoscopic splenectomy (LS). LS is a safe and effective method for diagnosis of SANT.
硬化性血管瘤样结节性转化（SANT）是一种罕见的良性增殖性血管病变，起源于脾红髓。大多数SANT患者没有临床症状，是在影像学检查时偶然发现的。目前尚无明确的放射学征象，与其他脾脏疾病及恶性病变进行鉴别仍有困难。SANT诊断的确立需要对切除的脾脏进行组织学和免疫组织化学评估。在此，我们报告一例通过择期腹腔镜脾切除术（LS）成功治疗的脾脏SANT罕见病例。LS是诊断SANT的一种安全有效的方法。
