脾脏恶性肿瘤的诊疗分析

Analysis on Diagnosis and Treatment of Spleen Malignant Tumor

目的探讨恶性脾肿瘤的临床特点及其治疗。方法回顾性分析1992-01～2008-10间，收治的11例恶性脾肿瘤的临床资料。结果11例均经手术切除，其中脾血管肉瘤4例，脾恶性淋巴瘤5例，网织细胞肉瘤1例，转移性腺癌1例。术后存活时间最长的为恶性淋巴瘤，存活期7年，最短为血管肉瘤，存活期3个月。存活3年以上者3例，均为早期诊断并进行放化疗者。结论早期发现、手术治疗，并行辅助放化疗，是提高脾脏恶性肿瘤病人长期生存的惟一希望。

Objective To discuss the clinical characteristics and treatment of malignant spleen tumor. Methods The clinical materials of 11 cases of such patient from Jan 1992 to Oct 2008 were analyzed retrospectively. Results All cases were performed resection. There were 4 cases of angiosarcoma, 5 cases lymphadenoma, 1 case reticulum cell sarcoma and 1 case of metastasis adenoma. The longest span after resection was 7 years in lymphadenoma. The shortest was 3 months in angiosarcoma. All cases were performed radiotherapy. Conclusion The only hope of long span in these patient might be early diagnosis, operation and radiotherapy.