Montemayor P, Caggiano V
Int Surg. 1980 Jul-Aug;65(4):369-73.
A 60-year-old Filipino man, who presented with left sided abdominal pain and weight loss, was found to have splenomegaly, an abnormal spleen scan and a leukemoid reaction. Primary splenic hemangiosarcoma was found at splenectomy. Metastases first occurred in the cervical lymph nodes two years after diagnosis. Despite treatment with doxorubicin and radiation therapy there was recurrence in lymph nodes and scan evidence of liver and bone metastases. The patient died 38 months after diagnosis. A liver-spleen scan is helpful in establishing an early diagnosis, and splenectomy before rupture occurs is advisable. The role of chemotherapy needs to be defined.
一名60岁的菲律宾男子，因左侧腹痛和体重减轻就诊，发现有脾肿大、脾脏扫描异常及类白血病反应。脾切除术中发现原发性脾血管肉瘤。诊断两年后，转移首先发生于颈部淋巴结。尽管接受了阿霉素和放射治疗，仍出现淋巴结复发，并有肝脏和骨转移的扫描证据。患者在诊断后38个月死亡。肝脾扫描有助于早期诊断，建议在脾脏破裂前进行脾切除术。化疗的作用有待明确。
