小儿脾脏血管瘤三例临床分析  

Clinical review of three cases of pediatric splenic angioma

作　　者：何巍[1] 王家祥[1] 陈涛[1] 赵鸽[1] He Wei Wang Jiaxiang Chen Tao Zhao Ge(Department of Pediatric Surgery, the First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Chin)

机构地区：[1]郑州大学第一附属医院小儿外科,450052

出　　处：《中国实用医刊》2017年第19期16-18,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨脾脏血管瘤的临床特征和诊治方法。方法3例脾脏血管瘤患儿均行影像学检查和手术治疗，术后行病理检查。结果3例患儿术前均行彩超及CT或MRI检查，影像学检查均不能明确肿瘤性质。3例均经手术治疗，术后病理诊断分别为脾上皮样血管内皮瘤、脾海绵状血管瘤、脾窦岸细胞血管瘤。术后随访3个月～2年，无复发或其他器官占位性病变，1例术后血小板计数升高，其余生存质量良好。结论脾脏血管瘤极为少见，多因发现腹部包块就诊，实验室检查多无明显异常，影像学检查可发现肿瘤，但无法明确肿瘤性质，定性需行病理镜检及免疫组化。手术可选择开腹脾切除术、脾区段切除术和腹腔镜脾切除术，亦可考虑在超声引导下局部注射硬化剂。该病为良性病变，预后良好，手术完全切除病灶后多无复发及转移。Objective To investigate the clinical characteristics and treatment of splenic angloma. Methods Three children with splenic angioma experienced imaging examination, surgical treatment and postoperative pathologic examination. Results All the three cases underwent color Doppler ultrasound and CT or MRI examination before operation. Those imagings can not distinguish the nature of tumor. All the three cases underwent surgical operation and postoperative pathology. They were diagnosed as splenic epithelioid hemangioendothelioma, splenic cavernous hemangioma, splenic littoral cell angioma, respectively. The children were followed up for three months to two years. Except one case of increased platelet count, no recurrence or metastasis occurred after complete resection of the lesion, and the quality of life was good. Conclusions Splenic angioma is a rare disease, many of them are found for abdominal mass, with no obvious abnormal in laboratory tests, most of the tumor can be found by imaging examination, but the nature of the tumor can＇ t be identified. In order to define the nature of the tumor, we can do pathological microscopy and immunohistochemistry. Open splenectomy, splenic segment resection and laparoscopic splenectomy can be chosen as surgery methods. We can also choose the treatment of local injection of hardener with ultrasound guided. This disease is benign lesions and the prognosis is good, without recurrence or metastasis after surgical resection lesions in usual.

关 键 词：脾脏血管瘤 硬化性血管瘤样结节性转化 脾窦岸细胞血管瘤 

分 类 号：R733.2[医药卫生—肿瘤]