Tsugawa K, Hashizume M, Migou S, Kawanaka H, Sugimachi K, Irie H, Maeda T, Akaboshi K
Department of Surgery II, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Hepatogastroenterology. 1998 Sep-Oct;45(23):1887-91.
The case of a primary inflammatory pseudotumor of the spleen in a 44 year-old female is herein reported. This lesion is extremely rare, with only 33 cases previously reported. The splenic tumor was preoperatively diagnosed as a hemangioma by the combined modalities of ultrasonography, computed tomography and magnetic resonance imaging. A laparoscopic splenectomy was, thus, performed in order to make a final diagnosis. Pathological examination of the mass revealed an inflammatory process. Based on the above findings, a laparoscopic splenectomy is recommended when the tumor is suspected to be benign.
本文报告了一例44岁女性原发性脾脏炎性假瘤的病例。这种病变极为罕见，此前仅报告过33例。通过超声、计算机断层扫描和磁共振成像等综合检查手段，该脾脏肿瘤术前被诊断为血管瘤。因此，为了做出最终诊断，实施了腹腔镜脾切除术。对肿块的病理检查显示为炎症过程。基于上述发现，当怀疑肿瘤为良性时，建议行腹腔镜脾切除术。
