Geissler B, Fleischmann R, Wagner T, Wohlgemuth W, Lindemann F
Klinik für Allgemein- und Viszeralchirurgie, Zentralklinikum Augsburg.
Langenbecks Arch Chir. 1997;382(4):226-30.
Angiosarcoma of the spleen is a very rare but highly malignant vascular neoplasm. So far only 140 cases have been reported. A 42-year-old patient is presented in which the radiologic imaging misled to the diagnosis of infiltrating echinococcosis. After splenectomy histological and immunohistochemical staining gave proof of metastatic angiosarcoma. The patient died three months later as a consequence of multiple organ dysfunction syndrome. The literature is reviewed in regard to clinical features, diagnosis and therapy.
脾脏血管肉瘤是一种非常罕见但恶性程度很高的血管肿瘤。迄今为止,仅报告了140例。本文介绍了一名42岁的患者,其放射影像学检查误诊为浸润性棘球蚴病。脾切除术后,组织学和免疫组化染色证实为转移性血管肉瘤。该患者三个月后因多器官功能障碍综合征死亡。本文就其临床特征、诊断和治疗对相关文献进行了综述。