原发性脾肿瘤较少见,文献中多为个案报道。本文收集国内1955年～1987年8月49篇报道共94例(不包括囊肿),分析讨论如下。 临床资料 男60例,女34例。年龄13～66岁分类见表1。临床表现脾肿大84例(89.3％),左上腹痛45例(47.9％)疲乏、体重下降、纳差43例(45.7％),低热20例(21.3％),恶心呕吐8例(8.5％)脾亢1例。病程1月～5年,其中恶性肿瘤平均5.2月。6例发生自发性脾破裂。首发症状为脾肿大者76例(80.8 Primary splenic tumors are rare, mostly reported in the literature. This collection of domestic 1955 ~ 1987 August 49 reported a total of 94 cases (excluding cysts), analysis and discussion are as follows. Clinical data of 60 males and 34 females. The age group of 13 ~ 66 years old is shown in Table 1. Clinical manifestations of splenomegaly in 84 cases (89.3%), left upper abdominal pain in 45 cases (47.9%) fatigue, weight loss, anorexia in 43 cases (45.7%), fever in 20 cases (21.3%), nausea and vomiting in 8 cases (8.5% Hyperthyroidism in 1 case. Course of disease from January to 5 years, of which malignant tumors average 5.2 months. 6 cases of spontaneous rupture of the spleen. The first symptom of 76 cases of splenomegaly (80.8