Splenic hemangioma:presentation,diagnosis,and management
- VernacularTitle:脾海绵状血管瘤的诊治体会
- Author:
Xiequn XU
;
Binglu LI
;
Wei LIU
;
Chaoji ZHENG
;
Quan LIAO
;
Yupei ZHAO
- Publication Type:Journal Article
- Keywords:
Splenic disease;
Hemangioma,cavernous;
Splenectomy
- From:
Chinese Journal of General Surgery
2008;23(7):534-536
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical features and the key points in the diagnosis and management of splenic hemangioma.Methods The clinical presentations,laboratory tests,imaging and pathological results,treatment,and prognosis of 21 cases of splenic hemangioma admitted in Peking Union Medical College Hospital from April,1989 to July 2007 were retrospectively analyzed.Results The clinical presentations of splenic hemangiom are not specific which include left upper quadrant mass or discomfort,abdominal pain,etc.The diagnosis of imaging includes Doppler ultrasound,CT,MRI,DSA,etc.Splencetomy is recommended for all splenic hemangioma with severe symptoms or rupture.Conclusion Asymptomatic patients with small splenic hemangioma(＜4 cm)can be managed conservatively.Symptomatic large hamangioma may need a sp]enectomy.
