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本文报道了一例伴有胸壁局部侵犯的脾脏原发性肉瘤的64岁女性病例。在采用正电子发射计算机断层显像(PET/CT)等先进方法对肿瘤及转移灶进行了及时准确的诊断后,患者接受了根治性手术。同时标本经过苏木精-伊红染色法(H&E)和免疫组化等检查进一步明确了脾脏原发性肉瘤的病理学诊断结果。据我们所知,这是目前世界上第五例原发性脾脏肉瘤的报道,同时也是第一例伴有局部胸壁侵犯并获得手术根治的脾脏肉瘤的报道。
This article reports an example of a 64-year-old female with splenic primary sarcoma with chest wall invasion. The patient underwent radical surgery after timely and accurate diagnosis of tumors and metastases using advanced methods such as positron emission tomography (PET / CT). At the same time, the specimens were examined by hematoxylin-eosin staining (H & E) and immunohistochemistry to further confirm the pathological diagnosis of splenic primary sarcoma. To the best of our knowledge, this is the fifth reported case of primary splenic sarcoma in the world and the first case of splenic sarcoma with localized chest wall invasion and radical surgery.