脾脏原发性恶性肿瘤极为罕见,有关文献多为个案报道。本文报告我院一例,并将有关文献加以复习。胡××(住院号162572),男,39岁,干部。于1975年6月7日以“左上腹包块”诊断入院。患者在三个月前无意中发现左上腹包块,入院前自觉包块增大,有轻微疼痛。无黄疸史,无鼻衄及牙龈出血,无呕血及便血史,不发烧。大小便正常。二十年前患过“疟疾”。家乡山东为血吸虫病流行区。 Spleen primary malignancies are extremely rare, the relevant literature mostly case reports. This article reports a case of our hospital, and review the relevant literature. Hu XX (hospital number 162572), male, 39 years old, cadre. In June 7, 1975 to “left upper abdominal mass” diagnosis and admission. Patients inadvertently found in the left upper abdomen mass three months ago, before admission, conscious mass increases, a slight pain. No history of jaundice, no nose and gingival bleeding, no history of hematemesis and blood in the stool, no fever. Normal urine. Tired of malaria twenty years ago. Shandong is the endemic area for schistosomiasis.