摘要
目的探讨原发性脾脏肿瘤的临床病理特点及外科治疗效果。方法回顾性分析1972年2月至2006年3月间中国医学科学院肿瘤医院收治的43例原发性脾脏肿瘤,按照其临床病理特点进行分类,并就治疗经过及生存率进行统计分析。结果 43例患者中经查体发现者48.8%(21例)。42例行手术切除肿瘤,1例行肿瘤活检。良性16例,其中脾血管瘤15例,脾淋巴管瘤1例;恶性肿瘤24例,其中脾淋巴瘤16例,脾血管肉瘤8例,多数淋巴瘤患者长期生存,3年生存率为88.7%,脾血管肉瘤平均生存时间为10.4个月。结论原发性脾脏肿瘤缺乏特异性症状,B 超和 CT为首选检查方法,手术切除为治疗的主要手段。
Objective To investigate the clinical pathological characteristics and treatment of primary splenic tumor. Methods The clinical data of 43 patients with primary splenic rumors, 23 males and 20 females, aged 44.7 （19-66） , treated in the Cancer Hospital, Chinese Academy of Medical Science from Feb 1972 through Mar 2006 were analyzed. Results Of the 43 cases, 21 cases （48.8%） were found in physical examination. 42 cases underwent splenectomy and 1 case underwent rumor biopsy. Sixteen cases were with benign splenic tumors, including 15 cases of hemagioma and 1 case of lymphangioma. Of the 24 malignant cases, 16 suffered from splenic lymphoma and 8 from angiosarcoma. Most lymphoma cases survived and the mean three year surviving rate was 88.7%. The mean surviving time of angiosarcoma was only 10.4 months, Conclusion Primary splenic tumors lack specificity; B-ultrasonography and CT are primary examination methods. Surgery is an effective method in treatment of primary splenic tumors.
出处
《中华医学杂志》
CAS
CSCD
北大核心
2007年第24期1673-1675,共3页
National Medical Journal of China
关键词
脾肿瘤
诊断
治疗
Splenic neoplasms
Diagnosis
Treatment
