原发性脾脏肿瘤125例临床分析  

Clinicopathologic features and treatment of primary splenic tumors

作　　者：白晓枫[1] 解亦斌[1] 赵东兵[1] 刘骞[1] 田艳涛[1] 孙跃民[1] 郭春光[1] 赵平[1] 

机构地区：[1]中国医学科学院北京协和医学院肿瘤医院腹部外科,北京100021

出　　处：《中国医刊》2013年第6期26-28,共3页Chinese Journal of Medicine

摘　　要：目的探讨原发性脾脏肿瘤的临床病理特点及外科治疗效果。方法回顾性分析125例原发性脾脏肿瘤的治疗情况。结果 125例患者中查体发现53.6%(67例)。124例行手术切除肿瘤,1例行活检。病理结果血管瘤41例,淋巴瘤59例,脾血管肉瘤10例,淋巴管瘤5例,肌纤维母细胞肿瘤4例,间皮瘤2例,血管内皮瘤2例,脾脏肉芽肿1例,脾脏转移瘤1例。术后良性肿瘤均长期生存,恶性肿瘤平均生存时间11.2个月。结论原发性脾脏肿瘤缺乏特异性症状,B超和CT为首选检查方法 ,手术切除为治疗的主要手段。Objective To investigate clinical pathological specifics and treatment of primary splenic tumor. Method To perform retrospective analysis of 125 cases of primary splenic rumors treated from Feb 1986 through Mar 2012. Results Of 125 cases,67 cases（53.6% ） were found in physical examination. 124 cases underwent splenectomy and I case underwent rumor biopsy. 51 cases of benign splenic tumors including 41 cases of hemagioma,5 cases of lym- phangioma,2 cases of mesothelioma,2 cases of hemangioendothelioma and 1 case of spleenic granulomas. Of the 70 malignant cases,59 were splenic lymphoma, 10 were angiosarcoma and 1 was metastasis. 4 myofibroblastic tumors were borderline tumor. Most lymphoma cases survived and the mean three year survive rate is 88.7%. While the mean survive time of angiosarcoma is only 11.2 months. Conclusion Primary splenic tumor lack specificity, B-us and CT are primary examination methods. Surgery is an effective form in the treatment of primary splenic tumors.

关 键 词：原发性脾脏肿瘤 诊断 治疗 

分 类 号：R733.2[医药卫生—肿瘤]