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化学感受器瘤(简称:化感瘤)临床罕见,发生脾转移更少.现报告1例如下:患者男,37岁.8年前因左上腹鸡卵大肿块半年,在外院行腹膜后髂血管鞘内肿物次全切除,病理诊断:化感瘤.本次因左上腹儿头大肿物2年入我院.查体:一般情况好,左上腹膨隆肋缘下可及儿头大肿物,下界平脐边钝表面光质中等硬,无压痛不活动.化验:血常规正常,血沉30mm/h.B超:左上腹20×14cm分格状囊实性肿块.胸片:左膈抬高.钡灌肠:左横结肠受压下移.拟腹膜后化感瘤复发经胸腹联合切口探查,脾巨大呈囊性余脏器无异常,行脾摘除术.术后临床诊断:巨大脾囊肿.病理诊断:化感瘤脾转移.术后顺利出院,随访12个月无复发.
The chemoreceptor tumors (abbreviation: hepatoma) are rare clinically, and less splenic metastases occur. The present report 1 is as follows: The patient is male, 37 years old. Eight years ago, because of large masses of the left upper abdomen chicken for six months, retroperitoneal fistulas were performed in the external hospital. Intrathecal mass subtotal resection, pathological diagnosis: metastatic tumor. This due to the left upper abdomen of children with large tumors into our hospital for 2 years. Physical examination: the general situation is good, left upper abdominal bulging subcostal palpable children Material, lower bound flat umbilical blunt surface light medium hard, no tenderness inactivity. Laboratory tests: normal blood, ESR 30mm/hB super: left upper abdomen 20 × 14cm cystic solid lumps. Chest: left fistula elevation. Barium enema: Left transverse colon under pressure. Post-peritoneal recurrence of the tumor-associated exploration through thoracoabdominal incision, splenomegaly showed no abnormal cystic organ, and splenectomy. Postoperative clinical diagnosis: giant splenic cyst. Pathology Diagnosis: metastasis of splenic metastasis. The patient was discharged from the hospital and was followed up for 12 months without recurrence.