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題 名 | Splenosis Mimicking a Mesenteric Tumor: Report of a Case=脾組織異位症疑似腸系膜腫瘤:一病例報告 |
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作 者 | 蔡奇璋; 林俊谷; 羅錦河; 黎國洪; 許秉毅; 莫景棠; 潘慧本; | 書刊名 | 中華民國消化系醫學雜誌 |
卷 期 | 15:2 1998.06[民87.06] |
頁 次 | 頁25-29 |
分類號 | 415.649 |
關鍵詞 | 脾組織異位症; 腸系膜腫瘤; Splenosis; Mesenteric tumor; |
語 文 | 英文(English) |
中文摘要 | 一位 72 歲男性,因肺炎入院。於常規檢查時,無意中發現腹腔內腫塊。 因忽視 病患過去脾臟外傷手術病史,而實施不必要之剖腹探查術,其後證實為脾組織異位症。脾組 織異位症一般常見於外傷性脾臟破裂或手術後,發生位置以腹膜、腸系膜或網膜為常見。臨 床上,通常因無明顯症狀而常被忽略,並且低估其發生機率。實際上,經常因外科手術或屍 體解剖時無意中發現而提出報告。診斷上,傳統之超音波、電腦斷層攝影或血管攝影常無法 得到正確診斷。核子醫學閃爍攝影是目前最有效的診斷工具,並且因無侵犯性而為各家學者 所建議。脾組織異位症並不是病理過程,並且可能有益於病患本身於預防外來感染。因此注 意病患過去脾臟手術之病史,並且實施核子醫學閃爍攝影以達正確診斷,當可避免無謂之手 術及術後無脾狀態。 |
英文摘要 | Splenosis represents the autotransplantation of splenic tissue that usually follows splenic trauma or surgery. It is common but underdiagnosed entity before surgical exploration. Splenosis is most commonly misdiagnosed as a primary or metastatic tumor and also may be confused with accessory spleen. Using conventional imaging techniques, including abdominal ultrasonography, computerized tomography and angiography, this ectopic splenic tissue is indistinguishable from primary or metastatic neoplasm. Radionuclide scintigraphy is the diagnostic test of choice with high specificity and sensitivity. Because splenosis is not a pathologic process but may actually be beneficial to the patient, it is important to recognize splenosis and not to confuse it with malignancy. We present a case of splenosis which was initially diagnosed as mesenteric tumor and led to unnecessary surgery. The pathophysiology, clinical presentation and diagnostic studies of splenosis are also reviewed. |
本系統中英文摘要資訊取自各篇刊載內容。