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目的 总结脾脏恶性肿瘤诊治的经验。方法 回顾性分析 13例脾脏恶性肿瘤病理类型以及诊断和治疗方法选择。结果 术前 B超和 CT确诊率为 92 .3% (12 / 13)。术后病理类型 :恶性淋巴瘤和淋巴肉瘤 6例 ,血管肉瘤 3例 ,纤维肉瘤 2例 ,平滑肌肉瘤 1例 ,转移性肝细胞癌 1例。术后生存 5年以上 3例 ,均为早期病例。结论 影像检查是主要诊断手段 ,提高脾脏恶性肿瘤的早期诊断率是改善预后的关键。
Objective To summarize the experience of diagnosis and treatment of splenic malignancies. Methods Retrospective analysis of 13 cases of spleen malignant tumor pathological type and diagnosis and treatment options. Results The diagnosis rate of preoperative B ultrasound and CT was 92.3% (12/13). Postoperative pathological types: 6 cases of malignant lymphoma and lymphosarcoma, 3 cases of angiosarcoma, 2 cases of fibrosarcoma, 1 case of leiomyosarcoma and 1 case of metastatic hepatocellular carcinoma. Postoperative survival of more than 5 years in 3 cases, are early cases. Conclusion Imaging examination is the main diagnostic tool to improve the early diagnosis of splenic malignancy is the key to improving prognosis.