脾原发肿瘤的诊断和治疗

目的:总结脾肿瘤诊治的经验。方法:回顾性分析收治的92例脾肿瘤患者的临床病理资料。其中脾良性肿瘤47例(51.09%)，恶性45例(48.91%)。结果:结果92例脾肿瘤术前B超诊断率为85.87%(79/92)，CT鉴别良恶性正确率为91.30%(84/92)。81例行脾切除，7例行肿瘤切除或脾部分切除术，3例行脾囊肿穿刺术，1例活检。恶性肿瘤1,3,5,10年生别率分别为68.29%,31.70%,14.63,0.24%。结论:影像检查是脾肿瘤的主要诊断手段，治疗应以手术为主，良性肿瘤术后无需特殊处理，对瘤体较大、分化较差的恶性肿瘤术后应进行辅助治疗。

Diagnosis and treatment of primary splenic tumors

Abstract:Objective:To summarize our experience in diagnosis and treatment of splenic tumors.Methods :A retrospective study of the clinicopathologic data of 92 cases of splenic tumor was performed.Results:There were 47 benign and 45 malignant tumors. The preoperative confirmed diagnostic rate by B-US was 85.87%(79/92), by CT was 91.30%(84/92). Splenectomy was performed in 81 cases, tumor resection or partial splenectomy in 7 cases, needle aspiration of splenic cyst in 3 cases and biopsy in one case. The 1-, 3-, 5-, 10-year survival rate of malignant tumor was 68.29%,31.70%,14.63%,0.24%,respectirely.Conclusions:Imaging studies are the main diagnostic methods of splenic tumors. Splenectomy is the treatment of choice for primary splenic malignant tumor. Splenic benign tumor does not require any other therapy after operation. Splenic malignant tumor requires adjuvant treatment.