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脾脏海绵状血管瘤:超声及计算机断层扫描诊断的价值与局限性

[Cavernous hemangioma of the spleen: values and limitations of ultrasonic and computed tomographic diagnosis].

作者信息

Bail J P, Menut P, Andivot T, Leal T, Volant A, Charles J F

机构信息

1. Service de Chirurgie digestive et endocrinienne Bichat V, CHRU Augustin Morvan, Brest.

出版信息

Ann Chir. 1994;48(4):370-3.

PMID:8085763
Abstract

A case of a cavernous haemangioma associated with an hepatic haemangioma is reported. It presented in the form of a hyperechogenic mass on ultrasound imaging. On the Computed Tomography scan with contrast, the splenic tumour became progressively hyperdense: this last characteristic is observed in 6 out of 9 cases reported in the literature. MR imaging seems to allow an accurate preoperative diagnosis; nevertheless, splenectomy is often indicated because of the risk of rupture, in which case histological examination removes any doubt concerning an exceptional malignant form.

摘要

报告了一例与肝血管瘤相关的海绵状血管瘤病例。超声成像显示为高回声肿块。在增强计算机断层扫描中,脾脏肿瘤逐渐变为高密度:文献报道的9例中有6例观察到这一特征。磁共振成像似乎有助于术前准确诊断;然而,由于存在破裂风险,通常仍需进行脾切除术,在这种情况下,组织学检查可消除对罕见恶性形式的任何疑虑。

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