原发于脾脏的恶性肿瘤非常少见。我院自1987年至今收治3例。报道如下：1病历介绍例1：男，59岁。间歇性左上腹胀痛不适3个月，伴恶心，消瘦半月。体检：脾肋下5．0cm，Hb127g／L，ESR40mm／h。CT提示：脾囊肿。术中见少量腹水。脾上极外侧肿块4cm×3cm，暗红色，质硬。在肾上方 Malignancies that originate in the spleen are rare. Our hospital has treated 3 cases since 1987. The report is as follows: (1) Medical record introduction Example 1: Male, 59 years old. Intermittent left upper abdominal pain discomfort for 3 months, with nausea, weight loss and a half months. Physical examination: Spleen 5.0 cm, Hb 127 g/L, ESR 40 mm/h. CT tips: splenic cysts. See a small amount of ascites during surgery. The upper side of the spleen mass was 4cm x 3cm, dark red, and hard. Above the kidney