脾脏硬化性血管瘤样结节性转化（SANT）酷似脾脓肿：病例报告及文献复习
Sclerosing angiomatoid nodular transformation (SANT) of spleen mimicking a splenic abscess: Case report and review of the literature.
作者信息
Capaldi Massimo, Fransvea Pietro, Ricci Gabriele, Stella Francesca, Trombetta Silvia, Cerasari Saverio, Cataldi Carlo, Casale Sabrina, Marini Pierluigi
机构信息
General and Emergency Surgery, St. Camillo Forlanini's Hospital, Rome, Italy.
General and Emergency Surgery, St. Camillo Forlanini's Hospital, Rome, Italy; Faculty of Medicine and Psychology, "Sapienza" University of Rome, St. Andrea's Hospital, Italy.
出版信息
Int J Surg Case Rep. 2019;56:1-4. doi: 10.1016/j.ijscr.2019.02.015. Epub 2019 Feb 15.
INTRODUCTION
SANT of the spleen is a benign lesion that does not recur after splenectomy with unknown etiology.
PRESENTATION OF THE CASE
We report a case of sclerosing angiomatoid nodular transformation (SANT) of the spleen mimicking a splenic abscess in a patient with imaging studies that failed to differentiate this lesion from other splenic lesions.
DISCUSSION
SANT of the spleen is a rare condition, with only less than 100 cases reported in the literature. Clinically, SANT is only a kind of described pathological diagnostic conception. As in our case, these splenic lesions are often incidental findings on imaging studies performed for other reasons.
CONCLUSION
The patient was treated with splenectomy, which has proved to be both diagnostic and therapeutic. Although histology can lead to the diagnosis of vascular tumor, immunohistochemistry is the only way to confirm the diagnosis.
引言
脾脏硬化性血管瘤样结节性转化（SANT）是一种良性病变，脾切除术后不会复发，病因不明。
病例介绍
我们报告一例脾脏硬化性血管瘤样结节性转化（SANT）病例，该病例在影像学检查中被误诊为脾脓肿，影像学检查未能将此病变与其他脾脏病变区分开来。
讨论
脾脏SANT是一种罕见疾病，文献报道不足100例。临床上，SANT只是一种描述性的病理诊断概念。如我们的病例所示，这些脾脏病变常在因其他原因进行的影像学检查中偶然发现。
结论
该患者接受了脾切除术，事实证明这既是诊断性的也是治疗性的。虽然组织学检查可诊断血管肿瘤，但免疫组织化学是确诊的唯一方法。
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