Bubenik O, Lopez M J, Greco A O, Kraybill W G, Cherwitz D L
Cancer. 1983 Sep 15;52(6):994-6. doi: 10.1002/1097-0142(19830915)52:6<994::aid-cncr2820520611>3.0.co;2-e.
A case is presented of a patient with diffuse histiocytic lymphoma with splenic involvement who developed a communication between the greater gastric curvature and the splenic parenchyma after successful antineoplastic chemotherapy. This fistula was diagnosed by CT scan and confirmed by upper gastrointestinal barium series and fiberoptic endoscopy. This complication was managed successfully by an enbloc resection of the greater curvature of the stomach, splenectomy, and distal pancreatectomy. Histologic assessment of the stomach and spleen failed to reveal residual tumor. The clinical evolution of this rare complication is discussed and the literature on this subject is reviewed.
本文报告一例弥漫性组织细胞淋巴瘤累及脾脏的患者，在成功进行抗肿瘤化疗后，胃大弯与脾实质之间形成了瘘管。该瘘管通过CT扫描诊断，并经上消化道钡剂造影和纤维内镜检查证实。通过整块切除胃大弯、脾切除术和远端胰腺切除术成功处理了这一并发症。对胃和脾的组织学评估未发现残留肿瘤。本文讨论了这种罕见并发症的临床演变，并回顾了关于该主题的文献。
