Søndenaa K, Heikkilä R, Nysted A, Søreide J A, Odegaard H, Pollard M L, Holter J
Department of Surgery, Rogaland Central County Hospital, Stavanger, Norway.
Cancer. 1993 Jan 1;71(1):138-41. doi: 10.1002/1097-0142(19930101)71:1<138::aid-cncr2820710122>3.0.co;2-z.
Primary malignant splenic neoplasms are rare tumors. Apart from involvement of the spleen by malignant lymphoma, hemangiosarcoma is the most common form of primary malignant neoplasm in the spleen. The diagnosis often is made at autopsy or after spontaneous splenic rupture. The prognosis is usually poor, and widespread metastases soon occur.
Currently, no case of metastasis to the brain has been reported to the authors' knowledge.
This case report describes a patient who, as the first sign of metastatic disease, had symptoms from brain metastases 3 months after splenectomy.
Magnetic resonance imaging was diagnostic.
原发性脾脏恶性肿瘤是罕见的肿瘤。除恶性淋巴瘤累及脾脏外，血管肉瘤是脾脏原发性恶性肿瘤最常见的形式。诊断通常在尸检时或自发性脾破裂后做出。预后通常很差，很快就会发生广泛转移。
据作者所知，目前尚未有脑转移的病例报道。
本病例报告描述了一名患者，脾切除术后3个月出现脑转移症状，这是转移性疾病的首个症状。
磁共振成像具有诊断价值。
