Liao Jiaying, Musbahi Aya, Dasgupta Kaushik, Thibaut Herwig, Gopinath Bussa
General Surgery, North Tees and Hartlepool NHS Foundation Trust, Stockton-on-Tees, UK.
Pathology, North Tees and Hartlepool NHS Foundation Trust, Stockton-on-Tees, UK.
BMJ Case Rep. 2019 Sep 8;12(9):e229757. doi: 10.1136/bcr-2019-229757.
The authors described a case of sclerosing angiomatoid nodular transformation of the spleen (SANT) in a 50-year-old woman presented with persistent neutrophilia and unintentional weight loss. An incidental splenic mass was initially found on abdominal ultrasound. It was found to be progressive in size and with high likelihood of central necrosis on further CT of abdomen and pelvis. The patient subsequently underwent an uneventful laparoscopic splenectomy. The splenic specimens were sent for laboratory analysis and the histopathological findings were highly suggestive of SANT. The patient then had routine surgical follow-ups and was eventually discharged with no further clinical concern.
作者描述了一例50岁女性脾脏硬化性血管瘤样结节性转化(SANT)的病例,该患者表现为持续性中性粒细胞增多和非故意体重减轻。最初在腹部超声检查中偶然发现脾脏肿块。在进一步的腹部和盆腔CT检查中发现其大小在增大,且很可能发生中央坏死。患者随后顺利接受了腹腔镜脾切除术。脾脏标本送去进行实验室分析,组织病理学检查结果高度提示为SANT。患者随后进行了常规的手术随访,最终出院,无进一步临床问题。