Ros P R, Moser R P, Dachman A H, Murari P J, Olmsted W W
Radiology. 1987 Jan;162(1 Pt 1):73-7. doi: 10.1148/radiology.162.1.3538155.
Ten cases of hemangioma of the spleen were reviewed. Plain abdominal radiographs and scintigrams are helpful in specifying the splenic location. Calcification, either central punctate or peripheral curvilinear, can be detected on radiographs or computed tomographic (CT) scans. The spectrum form solid to cystic change observed in the pathologic specimens is reflected in analogous patterns on CT scans and sonograms: predominantly solid mass; mass with cystic spaces. The angiographic findings are nonspecific. It is possible to suggest the diagnosis of hemangioma of the spleen when an asymptomatic patient presents with a discrete splenic mass, particularly if there is evidence of calcification and cystic change within the lesion.
回顾了10例脾血管瘤病例。腹部平片和闪烁扫描有助于明确脾脏的位置。在平片或计算机断层扫描(CT)上可检测到中央点状或周边曲线状钙化。病理标本中观察到的从实性到囊性改变的频谱形式在CT扫描和超声图上以类似模式反映出来:主要为实性肿块;有囊性间隙的肿块。血管造影结果无特异性。当无症状患者出现孤立的脾脏肿块时,尤其是如果病变内有钙化和囊性改变的证据,有可能提示脾血管瘤的诊断。