脾脏原发性恶性肿瘤的诊断和治疗  

Diagnosis and treatment of primary splenic malignant tumors

作　　者：沈蔚[1] 张家敏[1] 毛根军[1] 吴荣进[1] 许龙堂[1] 郑樟栋[1] 王利霞[1] 楼善贤[1] 

机构地区：[1]浙江省金华市中心医院,金华321000

出　　处：《实用肿瘤学杂志》2008年第2期113-114,共2页Practical Oncology Journal

摘　　要：目的探讨脾脏原发性恶性肿瘤的诊断与治疗。方法回顾性分析近17年来收治的脾脏原发性恶性肿瘤21例的临床资料,其中原发恶性淋巴瘤18例、血管肉瘤2例、淋巴肉瘤1例。结果所有病例均行脾脏切除+脾门淋巴结清扫术,术后1例恶性淋巴瘤患者死亡,其余17例恶性淋巴瘤患者术后接受了化疗。结论脾脏原发性恶性肿瘤临床少见,临床表现不典型,诊断上要结合B超、CT等检查,以减少误诊的发生;治疗首选手术,切除要彻底,并结合放、化疗,以提高生存率。Objective To evaluate the methods of diagnosis and treatment of primary splenic malignant tumors. Methods 21 patients suffered from primary splenic malignant tumors from January,1990 to June,2007 were studied retrospectively, including 18 malignant lymphoma cases, 2 angiosarcoma cases and 1 lymphosarcoma case. Results All patients underwent splenectomy in this group. 1 malignant lymphoma case died after operation, the other 17 malignant lymphoma cases underwent chemical therapy after operation. Conclusion Primary splenic malignant tumors are rare clinically, it＇ s manifestation is untypical, examination with B ultrasound and CT scan can decrease misdiagnosis, splenectomy is of choice. Complete excision, adjuvant therapy can increase patients＇ survival rate.

关 键 词：脾肿瘤 诊断 脾切除术 

分 类 号：R733.2[医药卫生—肿瘤]