Rickert C H, Maasjosthusmann U, Probst-Cousin S, August C, Gullotta F
Institute of Neuropathology, Westfälische Wilhelms-Universität, Münster, Germany.
Am J Surg Pathol. 1998 Jul;22(7):894-6. doi: 10.1097/00000478-199807000-00011.
We present the first case of cerebral splenosis, occurring in a 20-year-old man 15 years after posttraumatic splenectomy. He became symptomatic through seizures and was operated on for suspected meningioma of the right occipital pole. Histologic evaluation of the lesion revealed splenic tissue with matching immunohistochemical results. Because no penetrating head injuries were reported at the time of trauma, a hematogenous spread of splenic tissue has to be assumed.
我们报告首例脑内脾组织植入病例，发生于一名20岁男性，在创伤后脾切除术后15年出现。他因癫痫发作出现症状，并因疑似右枕叶脑膜瘤接受手术。对病变组织的组织学评估显示为脾组织，免疫组化结果相符。由于创伤时未报告有穿透性头部损伤，因此推测脾组织是通过血行播散所致。
