脾脏硬化性血管瘤样结节性转化一例报告并文献复习
摘要
目的通过报道1例脾脏硬化性血管瘤样结节性转化(sclerosing angiomatoid nodular transformation,SANT)的诊治过程,以提高对SANT的认识,避免误诊。方法对1例SANT的诊治过程进行分析并复习相关文献。结果 SANT是一种近年来报道的罕见疾病,因临床表现及影像学检查无特异性,容易引起误诊,确诊主要依赖其特征性的病理学形态及免疫组织化学染色。结论 SANT是一种罕见的良性病变,预后良好,行脾切除术可治愈。
引文
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[3] Rosai J.Rosai and Ackerman’s surgical pathology.9th ed[M].Edinburgh:Mosby,2004:2035.
[4] 于海洋,张水军,李捷,等.脾硬化性血管瘤样结节性转化一例[J].中华普通外科杂志,2016,31(7):589.DOI:10.3760/cma.j.issn.1007-631X.2016.07.018.
[5] Hamao H,Kawa S,Horiuchi A,et al.High serum IgG4 concen-tratins in patients with sclerosing pancreatitis[J].N Engl J Med,2001,334(10):732-738.DOI:10.1056/NEJM200103083441005.
[6] Kornprat P,Beham-Schmid C,Parvizi M,et al.Incidental finding of sclerosing angiomatoid nodular transformation of the spleen[J].Wien Klin Wo chenschr,2012,124(3-4):100-103.DOI:10.1007/s00508-011-0101-1.
[7] Vyas M,Deshmukh M,Shet T,et al.Splenic angiomatoid nodu-lar transformation in child with inflammatory pseudotumor - like areas[J].Indian J Pathol Microbiol,2011,54(4):829-831.DOI:10.4103/0377-4929.91543.
[8] 杨旦君,谭延斌,钱姿桦,等.脾脏硬化性血管瘤样结节性转化的MRI表现[J].临床放射学杂志,2015,34(4):572-576.DOI:10.13437/j.cnki.jcr.2015.04.022.
[9] 张秋娟.脾脏硬化性血管瘤样结节性转化6例临床病理特征[J].陕西医学杂志,2014,43(3):356-357.DOI:10.3969/j.issn.1000-7377.2014.03.046.
[10] Diebold J,Le Tourneau A,Marmey B,et al.Is sclerosing angiomatoid nodular transformation (SANT) of the splenic red pulp identical to inflammatory seudotumour?Report of 16 cases[J].Histopathology,2008,53(3):299-310.DOI:10.1111/j.1365-2559.2008.03101.
[2] Krishnan J,Frizzera G.Two splenic lesions in need of clarification :hamartoma and inflammatory pseudotumor[J].Semin Diagn Pathol,2003,20(2):94-104.DOI:10.1016/S0740-2570(03)00014-5.
[3] Rosai J.Rosai and Ackerman’s surgical pathology.9th ed[M].Edinburgh:Mosby,2004:2035.
[4] 于海洋,张水军,李捷,等.脾硬化性血管瘤样结节性转化一例[J].中华普通外科杂志,2016,31(7):589.DOI:10.3760/cma.j.issn.1007-631X.2016.07.018.
[5] Hamao H,Kawa S,Horiuchi A,et al.High serum IgG4 concen-tratins in patients with sclerosing pancreatitis[J].N Engl J Med,2001,334(10):732-738.DOI:10.1056/NEJM200103083441005.
[6] Kornprat P,Beham-Schmid C,Parvizi M,et al.Incidental finding of sclerosing angiomatoid nodular transformation of the spleen[J].Wien Klin Wo chenschr,2012,124(3-4):100-103.DOI:10.1007/s00508-011-0101-1.
[7] Vyas M,Deshmukh M,Shet T,et al.Splenic angiomatoid nodu-lar transformation in child with inflammatory pseudotumor - like areas[J].Indian J Pathol Microbiol,2011,54(4):829-831.DOI:10.4103/0377-4929.91543.
[8] 杨旦君,谭延斌,钱姿桦,等.脾脏硬化性血管瘤样结节性转化的MRI表现[J].临床放射学杂志,2015,34(4):572-576.DOI:10.13437/j.cnki.jcr.2015.04.022.
[9] 张秋娟.脾脏硬化性血管瘤样结节性转化6例临床病理特征[J].陕西医学杂志,2014,43(3):356-357.DOI:10.3969/j.issn.1000-7377.2014.03.046.
[10] Diebold J,Le Tourneau A,Marmey B,et al.Is sclerosing angiomatoid nodular transformation (SANT) of the splenic red pulp identical to inflammatory seudotumour?Report of 16 cases[J].Histopathology,2008,53(3):299-310.DOI:10.1111/j.1365-2559.2008.03101.