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目的提高对脾转移癌的认识,探讨脾转移癌误诊为脾脏原发性恶性肿瘤的常见原因,以防误诊。方法选取1998-2011年15例误诊病例进行回顾性分析。结果 15例中,来源于结肠癌2例,胃癌3例,卵巢癌5例,肺癌2例,黑色素瘤1例,乳腺癌2例。结论详细的病例资料和针对性的检查对于减少误诊具有重要意义,必要时可行手术探查。
Objective To improve the understanding of splenic metastatic carcinoma and to explore the common causes of misdiagnosis of splenic metastatic carcinoma as primary malignant tumor of the spleen to prevent misdiagnosis. Methods Fifteen misdiagnosed cases from 1998 to 2011 were retrospectively analyzed. Results Of the 15 cases, 2 were from colon cancer, 3 from gastric cancer, 5 from ovarian cancer, 2 from lung cancer, 1 from melanoma and 2 from breast cancer. Conclusion Detailed case information and targeted examination are important for reducing misdiagnosis. Surgical exploration is feasible if necessary.