原发性脾脏肿瘤的诊断与治疗

目的 探讨原发性脾脏肿瘤的诊断和治疗对策。方法 回顾性分析28例原发性脾脏肿瘤的临床资料。结果 本组良性肿瘤13例，恶性肿瘤15例。B超和CT是主要诊断方法。除1例晚期脾脏恶性肿瘤因局部广泛浸润而无法切除外，其余27例采用脾切除术。脾脏恶性肿瘤采用根治性脾切除术，必要时辅以胰体尾切除术。恶性淋巴瘤术后辅以化疗和（或）放疗。结论 原发性脾脏肿瘤的诊断关键在于提高警惕，并选用合适的影像学检查以确诊。其治疗首选外科手术治疗。

Diagnosis and treatment of primary splenic tumors

Objective To explore measures for diagnosis and treatment of primary splenic tumors. Methods Clinical data of 28 cases of primary splenic tumors were retrospectively analyzed. Results Of these 28 patients, 13 were with benign tumors and 15 with malignant ones. Ultrasonography and CT were the main diagnostic methods. Splenectomy was performed in all cases but one of malignant tumor that was unresectable. Radical splenectomy should be performed for malignant splenic tumors and additional distal pancreatectomy should also be done if necessary. Adjuvant chemotherapy and/or radiotherapy were administered for malignant lymphoma. Conclusions The key points in diagnosing primary splenic tumors are the vigilance to these diseases and choice of appropriate radiographic methods. Surgical management is the first choice for their treatment.