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例1,女,63岁.因右上腹包块渐增大,腹胀4月余入院.剖腹所见;胰尾、脾门有一约16cm×18cm×10cm大小的肿块.表面不规则,质硬,血管丰富.脾脏大小正常,与肿块无法分离.施行肿块,胰体尾、脾切除,肝活检术.病理诊断:脾蒂淋巴管瘤、早期肝硬化.术后11年随访仍健在.例2,女,40岁.因疲乏、消瘦7个月入院、B超检查提示脾脏占位性病变,针吸细胞学提示淋巴瘤.施行脾切除术.病理诊断:脾脏淋巴瘤.术后4年随访健在.例3,男,46岁.因左胸痛、咳嗽、发热3天入院.住院期间发生腹腔内出血表现,急症剖腹所见:腹腔积血2800ml,脾脏明显肿大.表面有多个结节状突
Case 1, female, aged 63. Due to the right upper quadrant mass gradually increased, abdominal distension more than 4 months admitted. Caesarean section seen; pancreatic tail, spleen door has a size of about 16cm × 18cm × 10cm mass. Irregular surface, hard, The blood vessels are abundant, the size of the spleen is normal, and the tumor can not be separated, and the mass, body and tail of pancreas, splenectomy and liver biopsy are performed.Pathological diagnosis: Malignant splenic lymphoma and early cirrhosis, Female, 40 years old. Due to fatigue, weight loss 7 months admission, B-ultrasound showed spleen space-occupying lesions, aspiration cytology prompted lymphoma. Splenectomy. Pathological diagnosis: Splenic lymphoma. 4 years after follow-up Case 3, male, 46 years old .Because of left chest pain, cough, fever three days admitted to the hospital .Hemorrhagic intraperitoneal manifestations during hospitalization, emergency cesarean section seen: 2800ml of hemoperitoneum, the spleen was significantly enlarged surface has multiple nodular processes