General Surgery Department, Nicosia General Hospital, Leukosia, Cyprus
Histopathology Department, Nicosia General Hospital, Leukosia, Cyprus.
BMJ Case Rep. 2021 Dec 23;14(12):e246993. doi: 10.1136/bcr-2021-246993.
Sclerosing angiomatoid nodular transformation (SANT) of the spleen is an uncommon primary benign condition with specific histopathological characteristics. The majority of the patients are usually asymptomatic and present for treatment after an incidental finding on a routine abdominal imaging. The differential diagnosis includes other benign tumours, as well as primary malignancy or metastases of unknown origin. We report a 55-year-old woman who was presented to the surgical team of our hospital for splenectomy after the investigation of an incidental splenic lesion led to the diagnosis of SANT. The pathology report of the specimen repeated the initial diagnosis. The patient has not yet presented any complication or recurrence of the disease 8 months after the operation. From such infrequent cases, the most valuable conclusion which can be yielded is that the more the number of patients reported, the more the knowledge about the disease is broadened.
脾脏硬化性血管样结节性转化（SANT）是一种罕见的原发性良性疾病，具有特定的组织病理学特征。大多数患者通常无症状，在常规腹部影像学检查发现偶然病变后进行治疗。鉴别诊断包括其他良性肿瘤，以及来源不明的原发性恶性肿瘤或转移瘤。我们报告了 1 例 55 岁女性患者，因偶然发现的脾脏病变就诊于我院外科团队，最终诊断为 SANT 而行脾切除术。标本的病理报告重复了最初的诊断。术后 8 个月，患者尚未出现任何并发症或疾病复发。从这些罕见的病例中，最有价值的结论是，报告的患者越多，对该疾病的认识就越广泛。
