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目的通过报道1例脾脏硬化性血管瘤样结节性转化的诊治过程,以提高临床医师对该病的认识。方法复习文献并对1例脾脏硬化性血管瘤样结节性转化的临床表现、影像学表现、发病机制及治疗与预后进行分析。结果患者往往因其他疾病去医院检查发现,CT示增强后病灶轻度不均匀强化。病理回示符合脾硬化性血管瘤样结节性转化。行脾脏切除后患者康复出院,随访4月未见复发及转移。结论脾脏硬化性血管瘤样结节性转化是一种罕见病,容易被误诊为脾血管瘤、脾错构瘤、恶性肿瘤等,诊断主要依靠术后病理,手术切除可治愈。
Objective To report the diagnosis and treatment of one case of splenic sclerosing hemangioma-like nodular transformation in order to improve clinicians’ understanding of the disease. Methods The literature was reviewed and the clinical manifestations, imaging findings, pathogenesis, treatment and prognosis of a case of splenic sclerosing hemangioma-like nodular transformation were analyzed. Results Patients often go to the hospital for examination of other diseases and found that CT showed enhanced mild non-uniform enhancement of the lesion. Pathology showed that splenic sclerosing hemangioma-like nodular transformation. After splenectomy, the patients were discharged and recovered. No recurrence and metastasis were observed in follow-up. Conclusions Splenic sclerosing hemangioma-like nodular transformation is a rare disease that is easily misdiagnosed as splenomegaly, splenomegaly and malignant tumors. The diagnosis depends mainly on postoperative pathology and surgical resection.