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脾脏错构瘤十分罕见,其病理诊断有一定的困难,容易误诊,现介绍2例。 1 病例 例1 郑某,男,29岁。查体时发现脾下极有3.7cm×3.9cm实性占位性病变11个月,无不适。血常规示:血红蛋白150g/L,白细胞6.5×10~9/L,中性0.79,淋巴0.19,单核0.02,血小板122×10~9/L。骨髓穿刺未见特殊。B超示脾脏形态正常,下缘凸起,脾下极可探及3.6cm×4.2cm中等稍强回声团块,边界清,周边有正常脾包绕。彩色多普勒检查肿块内未见血流,其周边可探及门脉样及动脉样血流。临床诊断:脾脏占位性病变,性质待查。
Spleen hamartoma is very rare, the pathological diagnosis of some difficulties, easy to misdiagnosis, are introduced in 2 cases. 1 Case 1 Zhengmou, male, 29 years old. Physical examination found spleen very 3.7cm × 3.9cm solid mass lesions 11 months without any discomfort. Blood showed: hemoglobin 150g / L, white blood cells 6.5 × 10 ~ 9 / L, neutral 0.79, lymphatic 0.19, mononuclear 0.02, platelets 122 × 10 ~ 9 / L. No special bone marrow puncture. B ultrasound showed normal spleen morphology, the lower edge of the bulge, the spleen is very probing and 3.6cm × 4.2cm medium slightly stronger echo mass, clear boundary, the surrounding normal spleen wrap. Color Doppler examination within the mass no blood flow, the surrounding can be detected and portal vein-like blood flow. Clinical diagnosis: Spleen occupying lesions, nature to be investigated.