Freeman M H, Tonkin A K
Radiology. 1976 Dec;121(3 Pt. 1):689-92. doi: 10.1148/121.3.689.
Review of more than 2,000 liver-spleen scans revealed 18 cases of focal splenic defects. Three major categories are defined: lymphoma, infarctions, and metastatic tumor. Clinical presentation is important in determining the precise etiology, and a differential diagnosis is presented. It appears that: (a) reticulum cell carcinoma is as likely to cause defects as is Hodgkin's disease; (b) splenic infarction is related to pancreatic disease through the splenic vein; and (c) malignant melanoma is the most common secondary deposit as detected by scanning.
对2000多次肝脾扫描的回顾显示有18例局灶性脾缺损。可分为三大类：淋巴瘤、梗死和转移性肿瘤。临床表现对于确定确切病因很重要，并给出了鉴别诊断。似乎：(a) 网状细胞癌与霍奇金病导致缺损的可能性相同；(b) 脾梗死通过脾静脉与胰腺疾病有关；(c) 恶性黑色素瘤是扫描检测到的最常见的继发性沉积物。
