脾脏恶性肿瘤的外科治疗

Surgical treatment of splenic malignant tumor

目的 探讨脾脏恶性肿瘤的诊治。方法 回顾性分析 10例脾脏恶性肿瘤的临床资料。结果 术前B超和CT确诊率为 90 % (9 10 )。术后病理类型 :恶性淋巴瘤和淋巴肉瘤 5例 ,血管肉瘤 3例 ,纤维肉瘤 1例 ,肝细胞癌转移 1例。术后生存 5年以上 2例 ,均为早期病例。结论 影像学检查是诊断脾脏恶性肿瘤的主要手段 ;

Objective To study the diagnosis and treatment of splenic malignant tumors(SMT). Methods A retrospective study was made on the clinical data of 10 cases of SMT. Result The preoperative diagnostic rate by B US and CT was 90 percent. Postoperative pathologic diagnosis was the following: malignant lymphoma and lymphosarcoma in 5 cases, hemangiosarcoma 3 cases, fibrosarcoma 1 case, and metastases from liver 1 case. Two early stage cases survived over 5 years. Conclusions Image examination is adopted as the main means of diagnosis of SMT. Early diagnosis and treatment are the key points to improve the prognosis of SMT.