Jego P, Hamidou M, Horhant P, Girard L, Strat A L, Lancien G, Grosbois B, Leblay R
Service de Médecine Interne, Hôpital-Sud, Rennes.
Ann Med Interne (Paris). 1997;148(1):95-7.
Two large epidermoid cysts of the spleen have been accidentally discovered in two young men. These cysts are uncommon and represent about 10% of the non parasitic benign cysts of the spleen. From these cases, the authors reviewed the literature. These cysts, which are caused by an abnormal development during the seventh week of the intra-uterine life, are often asymptomatic but the occurrence of a complication may enable the diagnosis. This diagnosis relies on the surgical ablation of the cyst and the histopathologic examination. The surgery should be as conservative as possible.
两名年轻男性意外发现了两个巨大的脾脏表皮样囊肿。这些囊肿并不常见,约占脾脏非寄生虫性良性囊肿的10%。作者从这些病例出发回顾了相关文献。这些囊肿是由子宫内生命第7周的异常发育引起的,通常无症状,但并发症的出现可能有助于诊断。该诊断依赖于囊肿的手术切除及组织病理学检查。手术应尽可能保守。