脾血管肉瘤是一种较罕见的恶性肿瘤，文献报道约１００例犤１犦，本文报告１例。患者，男，５３岁。因上腹持续疼痛３个月入院。查体：左上腹压痛，左上腹扪及一约８cm×６cm大小包块，质硬、活动度差。手术见腹腔内有少许淡黄色腹水，肝表面有弥漫结节，脾脏肿大，约２０cm× Splenic angiosarcoma is a relatively rare malignancy, reported in the literature about 100 cases of 犤 1 犦, the paper reported in 1 case. Patient, male, 53 years old. Continued pain due to the upper abdomen 3 months hospitalization. Physical examination: left upper quadrant tenderness, left upper abdomen palpable about a size of 8cm × 6cm mass, hard, poor activity. See a little yellow intraperitoneal surgery ascites, diffuse nodules on the surface of the liver, splenomegaly, about 20cm ×