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患者男性.44岁.于入院前3个月健康普查时B超发现“脾脏肿块”.无腹痛、发热、消瘦.体检:体温37℃,营养发育良好,未见贫血貌.浅表淋巴结未扪及.心肺正常.全腹平软,肝脾肋下未触及,腹水症阴性.实验室检查:RBC4.72X10~(12)/L,WBC6.7×10~9/L,N81%,L19%;PLT152×10~9/L;Hb152g/L.B超:脾厚4.1cm,肋下(一),内部见多个低密度占位,最大约4.4cm×3.5cm.CT:脾内多发性低密度占位.脾动脉造影:脾脏多发性密度下均匀的占位性病变.入院诊断:脾占位性病变,肿瘤可能.1995年9月手术,见脾脏约10cm×8cm×4cm,色泽正常,下极及表面有多个大小不等、质地稍硬的结节,最大直径3.5cm,最小直径1.0cm,包膜完整,行脾切除术.剖开标本切面为实质性,呈暗紫褐色,脾脏部分区域呈细蜂窝状,结节区质较硬.显微镜下同时见增生的毛细血管和增生扩张的淋巴管,病理诊断为“脾脏血管淋巴管瘤”.
The patient was male at the age of 44 years. He was diagnosed as a “spleen mass” by the B-ultrasound 3 months before admission. No abdominal pain, fever, weight loss. Physical examination: 37°C, good nutrition, no anaemia, superficial lymph node involvement. And. Cardiopulmonary normal. Whole abdominal soft, liver and spleen not touched, ascites negative. Laboratory tests: RBC4.72X10 ~ (12) / L, WBC6.7 × 10 ~ 9 / L, N81%, L19% ; PLT152×10~9/L; Hb152g/LB super: spleen thickness 4.1cm, under the ribs (a), the internal see a number of low-density occupancy, the most about 4.4cm × 3.5cm. CT: multiple low spleen density Occupation. Splenic arteriography: Spleen multiple density uniform occupancy lesions. Admission diagnosis: splenic space-occupying lesions, tumor may. Surgery in September 1995, see spleen about 10cm × 8cm × 4cm, normal color, under There are multiple nodules with different sizes and hard textures on the pole and surface. The maximum diameter is 3.5cm, the minimum diameter is 1.0cm, and the capsule is complete. Spleenectomy is performed. The cut surface of the specimen is substantial, dark purple brown, spleen Part of the area was finely honeycombed and the nodule area was hard. Under the microscope, hyperplastic capillaries and hyperplastic lymphatic vessels were also seen. The pathological diagnosis was “splenic angiographic lymphangioma.”