Inflammatory pseudotumor of the spleen: a case report.
Inflammatory pseudotumor of the spleen: a case report.
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脾脏炎性假瘤：病例报告。
DOI：
10.1093/jjco/hyd048
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发表时间：
2000
影响因子：
2.4
通讯作者：
Y. Monobe
中科院分区：
文献类型：
--
作者：
Hirofumi Noguchi;Hidenori Kondo;Masami Kondo;M. Shiraiwa;Y. Monobe
我们报告了一个炎症性的脾脏假瘤。一位72岁的女性来我们医院就诊，主诉恶心。体检和实验室检查并不引人注目。超声、计算机断层扫描、磁共振成像和血管成像显示直径约5厘米的少血管脾肿块，病变中心有钙化。行脾切除术。切除的脾重145g，有一个棕白色的边界肿块，大小为6.2x5.5x5.3厘米。组织学上，脾肿块是由炎性细胞成分组成的混合体，主要是浆细胞和淋巴细胞，伴有玻璃化、纤维化、淋巴滤泡和多核巨细胞，提示炎性假瘤。手术后24个月，患者目前还活着，没有症状。脾脏炎性假瘤极为罕见，在医学文献中仅报道了39例。
We report on an inflammatory pseudotumor of the spleen. A 72-year-old woman visited our hospital complaining of nausea. Physical examination and laboratory investigations were unremarkable. Ultrasonography, computed tomography, magnetic resonance imaging and angiography showed a hypovascular splenic mass measuring about 5 cm in diameter with a calcification in the center of the lesion. Splenectomy was performed. The removed spleen, weighing 145 g, contained a tan-white, circumscribed mass, measuring 6.2 x 5.5 x 5.3 cm. Histologically, the splenic mass was composed of an admixture of inflammatory cellular elements, predominantly plasma cells and lymphocytes with hyalinization, fibrosis, lymph follicles and multinuclear giant cells, suggestive of a inflammatory pseudotumor. The patient is currently alive and asymptomatic, 24 months after surgery. Inflammatory pseudotumors of the spleen are extremely rare and only 39 cases have been reported in the medical literature.