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| 題 名 | Splenic Hamartoma Associated with Thrombocytopenia=脾臟畸胎瘤合併血小板缺乏症 |
|---|---|
| 作 者 | 冉祥俊; 陳梓泓; 陳之凱; 孫政宏; 周少鈞; | 書刊名 | 輔仁醫學期刊 |
| 卷 期 | 3:4 民94.12 |
| 頁 次 | 頁187-190 |
| 分類號 | 416.249 |
| 關鍵詞 | 畸胎瘤; 血小板減少症; 脾臟; Hamartoma; Spleen; Thrombocytopenia; |
| 語 文 | 英文(English) |
| 中文摘要 | 背景和目的:脾臟畸胎瘤合併血小板減少症是非常少見的病例。方法:依據手術前臆斷無功能性左腎上腺腫瘤進行剖腹探查術。結果:本文報告脾臟畸胎瘤因其生長的大小及位置極似左側腎上腺腫瘤,故在術前診斷上較困難。手術中發現是一巨大多狀葉狀脾臟,病理組織證實是脾臟畸胎瘤合併囊腫退化及囊腫壁鈣化。結論:本文報導一罕見脾臟畸胎瘤合併血小板減少症,而在術前因腫瘤生長位置及方式易被誤認為左腎上腺腫瘤。手術摘除脾臟後血小板即恢復正常。 |
| 英文摘要 | Background and Purpose: A 45-year-old man was referred to our hospital because of a left adrenal gland tumor. CT scan of the abdomen showed a 13×12×10-cm nodular soft-tissue mass with heterogenous enhancement and some central necrosis in the left upper retroperitoneum. A nonfunctioning left adrenal gland tumor was diagnosed. Methods: Exploratory laparotomy was performed under the impression of a nonfunctioning left adrenal gland tumor. Results: During the operation, a large multilobulated spleen was noted. A few days after the surgical removal of the spleen, the platelet count returned to a normal range. The histologic diagnosis of the splenic tumor was a hamartoma associated with secondary cystic degeneration and calcification of the cyst wall. Microscopically, the splenic tumor, which consisted of red pulp tissue, was diagnosed as a splenic hamartoma. Conclusion: This paper reports a rare case of a splenic hamartoma associated with thrombocytopenia which can easily be misdiagnosed because it mimics a left adrenal gland tumor. Removal of the enlarged spleen resulted in sustained clinical and hematologic improvement. |
本系統中英文摘要資訊取自各篇刊載內容。