Levy Asaph C J, DeFilipp Miriam, Blakely Morgan, Asiry Saeed, Jormark Susan, Goodman Allen
Department of Radiology, Northwell Health System, Lenox Hill Hospital, 100 East 77th St, New York, NY 10075 USA.
Department of Pathology, Mount Sinai Hospital Health System, Mount Sinai Hospital, New York, NY 10075 USA.
Radiol Case Rep. 2019 Jan 4;14(3):390-395. doi: 10.1016/j.radcr.2018.12.008. eCollection 2019 Mar.
Primary splenic angiosarcoma carries a poor prognosis and is among the rarest forms of malignancy. An overwhelming majority of patients with splenic angiosarcoma will develop metastases. However, osseous metastatic disease is rare. We present an 83 year old hispanic female who was diagnosed with primary splenic angiosarcoma on bone marrow biopsy performed for a hematologic workup. We highlight key historical, laboratory, imaging, and pathological features of splenic angiosarcoma. The synthesis of both imaging features and clinical history is essential for establishing early diagnosis in these patients.
原发性脾血管肉瘤预后较差，是最罕见的恶性肿瘤形式之一。绝大多数脾血管肉瘤患者会发生转移。然而，骨转移疾病很少见。我们报告一例83岁的西班牙裔女性，她在进行血液学检查的骨髓活检中被诊断为原发性脾血管肉瘤。我们强调了脾血管肉瘤的关键病史、实验室检查、影像学和病理学特征。综合影像学特征和临床病史对于这些患者的早期诊断至关重要。
