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脾脏肿瘤少见,我院收治一例,报道如下: 患者女,25岁,已婚,因左上腹块三年于84年6月9日入院。自幼罹患舌尖与下颌部血管瘤,1971年初切除舌尖,不久即复发。下颌部血管瘤久治无效。 体检:一般情况佳,四肢散在出血点。舌体呈紫色隆起5×4×2cm。下颌部软组织肿块8×6×3cm,色青紫。二肿块均质较,海绵状,压之色褪。心肺正常。左上腹明显隆起,内界过中线2 cm,下界脐下3 cm,质硬,表面光滑。肝未扪及。 辅助检查:血常规:RBC 285万/mm~3,H.b7.5g％,WBC 4500/mm~3,血小板17万/mm~3。肝肾功能正常。B超:脾大28×22×7.2cm,较强回声。CT检查:巨脾,表面结节状,脾内有多数大小不等
Spleen cancer rare, admitted to our hospital a case reported as follows: Female patient, 25 years old, married, three years on the left upper quadrant on June 9, 84 admission. Since childhood suffering from tongue and lower jaw hemangioma, removal of the tongue in early 1971, soon relapse. Long-term treatment of mandibular hemangiomas invalid. Physical examination: the general situation is good, scattered limbs bleeding point. The tongue is purple uplift 5 × 4 × 2cm. Mandibular soft tissue mass 8 × 6 × 3cm, color purple. Two mass more homogeneous, sponge-like, color pressure faded. Cardiopulmonary normal. The left upper abdomen was significantly uplift, the inner midline 2 cm, below the lower umbilical 3 cm, hard, smooth surface. Liver palpable. Auxiliary examination: blood: RBC 285 million / mm ~ 3, H. b7.5g%, WBC 4500 / mm ~ 3, platelets 170,000 / mm ~ 3. Liver and kidney function is normal. B-super: splenomegaly 28 × 22 × 7.2cm, strong echo. CT examination: splenomegaly, surface nodular, spleen and most of the size range