J4 ›› 2016, Vol. 1 ›› Issue (4): 50-51.

• 临床医学 • 上一篇    下一篇

脾窦岸细胞血管瘤1例并文献复习

  

  1. (大理大学附属医院,云南大理671000)
  • 收稿日期:2015-09-02 出版日期:2016-04-15 发布日期:2016-04-15
  • 作者简介:邵宇,医师,主要从事普外科研究.

Littoral Cell Angioma of the Spleen: A Case Report and Literature Review

  1. (Affiliated Hospital of Dali University, Dali, Yunnan 671000, China)
  • Received:2015-09-02 Online:2016-04-15 Published:2016-04-15

摘要:

目的:探讨脾窦岸细胞血管瘤的临床病理特点、诊断与鉴别诊断要点。方法:对1 例LCA 进行临床资料、影像学特征、
病理形态学及免疫组化分析并复习有关文献。结果:肿瘤由窦样腔隙构成,内皮细胞大多扁平,但腔壁上有少量乳头状结构凸
向管腔,血管间含多少不一的纤维组织。国外文献报道的病例中LCA常合并恶性肿瘤。结论:LCA 是罕见的来源于脾窦岸细
胞的血管源性肿瘤,其诊断主要依靠病理组织学及免疫组化。LCA与恶性肿瘤相关,应密切观察和长期随访。

关键词: 脾, 窦岸细胞, 血管瘤, 免疫组化

Abstract:

Objective: To investigate the clinicopathologic features and the main points of diagnosis of littoral cell angioma(LCA)of
spleen. Methods: The clinical features, radiologic findings and histopathologic changes were analyzed in a case of littoral cell angioma
of spleen. Immunohistochemical study was carried out and relevant literature were reviewed. Results: Histologically, the lesions
consisted of anastomosing ascular channels with papillary and few had cavernous appearance. And the vessels containing much of
different fibrous tissue. LCA is often studied combining with visceral cancer in foreign literature. Conclusion: LCA is a rare angiogenic
tumors from the littoral cell of spleen, whose diagnosis is on the basis of microscopic and immunohistochemical features. There is
correlation with LCA and malignancy, and it should be closely observed with long-term follow-up.

Key words: spleen, littoral cell, hemangioma, immunohistochemistry

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