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目的 分析脾转移性肿瘤的临床特点。方法 对 2 2例脾转移性肿瘤临床资料进行回顾性分析。 结果 原发灶分别为卵巢癌、肺癌及结肠癌各 4例 ,胃癌 3例 ,乳腺癌及肝癌、胰腺癌分别 2例 ,肾癌 1例。 4例为单纯脾转移 ,伴多发脏器转移 1 8例 ,分别经 B超、CT、MRI、选择性脾动脉造影术前诊断 ,手术切除 7例 ,探查活检 1 0例 ,5例未手术。目前死亡 1 6例 ,其中 1年内死亡 1 1例。 结论 脾转移瘤少见 ,影像学检查是脾转移瘤主要术前诊断方法 ,强调以手术中心结合化疗、放疗的综合治疗方案是提高脾转移瘤预后关键
Objective To analyze the clinical characteristics of splenic metastatic tumors. Methods The clinical data of 22 cases of splenic metastatic tumors were retrospectively analyzed. Results The primary tumors were ovarian cancer, lung cancer and colon cancer in 4 cases, gastric cancer in 3 cases, breast cancer and liver cancer, pancreatic cancer in 2 cases and renal carcinoma in 1 case. Four cases were simple splenic metastases accompanied by multiple organ metastases, 18 cases were diagnosed by B-mode ultrasonography, CT, MRI and selective splenic artery angiography. Seven cases were surgically resected and 10 cases were biopsy. Five cases were not surgically treated. There are currently 16 deaths, including 11 deaths within one year. Conclusions Spleen metastases are rare. Imaging examination is the main preoperative diagnosis of splenic metastases. It is emphasized that the combination of chemotherapy and radiotherapy in the operation center is the key to improve the prognosis of splenic metastases