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題名 | Huge Splenic Epidemoid Cyst: A Case Report=脾臟巨大表皮樣囊腫:一病例報告 |
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作者 | 林敋彬; 劉滄柏; 鄭國祥; | 書刊名 | 中華醫學雜誌 |
卷期 | 60:2 1997.08[民86.08] |
頁次 | 頁113-116 |
分類號 | 416.24 |
關鍵詞 | 脾臟切除術; 脾臟巨大表皮樣囊腫; Splenectomy; Splenic epidermoid cyst; |
語文 | 英文(English) |
中文摘要 | 於21歲女性病患,發現一罕見之脾臟表皮樣囊腫。在腹部超音波與電腦斷層顯示約l4 × l2 × 8 cm,內含漿液,於手術中輕易把脾臟切除。組織病理檢查發現,此表皮樣囊腫由一些鬆散纖維組織構成其外壁,內膜為單層扁平或矮小立方形上皮細胞所構成,而無皮膚附件。其它脾臟組織表現中度充血與竇狀基質肥厚。 罹患脾臟瘤並無特異性的症狀,此與腫瘤大小有著直接關係。其潛在的併發症包括:出血、感染與囊狀瘤破裂。 最終則建議宜採用脾臟切除術,以治療表皮樣囊腫所產生的症狀或預防潛在的併發症。 |
英文摘要 | A case is reported of splenic epidermoid cyst discovered in a 21-year-old female. The lesion was shown by abdominal ultra-sonography and computed tomography to be 14 x 12 x 8 cm in size and to contain serous fluid in the lumen. The spleen was easily removed by surgery. Histopathologically, the epidermoid cyst was composed of a loosely fibrous wall and a single layer interior lining of flattened or low-cuboidal epithelium, without skin appendages. The remaining splenic tissue showed mild congestive change with thickened sinusoidal stroma. Most splenic cysts have presented with symptoms related to both the size of the mass and compression of an adjacent organ. Potential complications include hemorrhage, infection, and rupture of the splenic cyst. Splenectomy is recommend to eradicate symptoms produced by the cyst and to prevent potential complications. |
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