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目的 探讨原发性脾脏肿瘤的诊断和治疗对策。方法 回顾性分析 2 8例原发性脾脏肿瘤的临床资料。结果 本组良性肿瘤 13例 ,恶性肿瘤 15例。B超和CT是主要诊断方法。除 1例晚期脾脏恶性肿瘤因局部广泛浸润而无法切除外 ,其余 2 7例采用脾切除术。脾脏恶性肿瘤采用根治性脾切除术 ,必要时辅以胰体尾切除术。恶性淋巴瘤术后辅以化疗和 (或 )放疗。结论 原发性脾脏肿瘤的诊断关键在于提高警惕 ,并选用合适的影像学检查以确诊。其治疗首选外科手术治疗。
Objective To investigate the diagnosis and treatment of primary splenic tumors. Methods The clinical data of 28 primary splenic tumors were retrospectively analyzed. Results There were 13 benign tumors and 15 malignant tumors in this group. B-ultrasonography and CT are the main diagnostic methods. Except for one case of splenic malignant tumor that could not be removed due to extensive local infiltration, the remaining 27 cases were treated with splenectomy. Splenic malignant tumors were treated with radical splenectomy, supplemented with pancreatic and body-resection surgery if necessary. Malignant lymphoma was treated with chemotherapy and (or) radiotherapy. Conclusion The key to the diagnosis of primary splenic tumors is to increase vigilance and use appropriate imaging tests to confirm the diagnosis. The treatment of choice for surgical treatment.