Sun Ting, Wang Gui-Feng, Zhang Yun
Department of Hepatobiliary and Pancreatic Surgery, the Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China.
J Zhejiang Univ Sci B. 2017;18(8):717-722. doi: 10.1631/jzus.B1700262.
We herein present a case of carcinosarcoma arising as a primary lesion in the spleen with the presence of local invasion of chest wall prior to widespread metastasis all over the body of a female aged 64 years. The detailed information of therapy and imaging evidences of morphology, histology, and immunohistochemistry are fully provided. To the best of our knowledge, this is the fifth reported case of a primary splenic carcinosarcoma and even the first case to be described with local invasion in the mongoloid. Carcinosarcoma that develops in the spleen with local invasion is extremely rare.
我们在此报告一例64岁女性原发性脾恶性肉瘤病例,该病例在全身广泛转移之前已出现胸壁局部浸润。文中充分提供了详细的治疗信息以及形态学、组织学和免疫组织化学的影像学证据。据我们所知,这是第五例报告的原发性脾恶性肉瘤病例,也是首例在蒙古人种中描述有局部浸润的病例。发生在脾脏且伴有局部浸润的恶性肉瘤极为罕见。