Secondary Splenic Tumor-Two Case Reports

脾臟腫瘤不論原發性或續發性均極罕見。Raussellet在225,405例住院病患統計中，祇有4例為原發性，6例為續發性。近年來因核子醫學、超音波及電腦斷層掃描的廣泛應用，故脾臟腫瘤的診斷率大增。我們所提出的兩例胃癌合併脾臟轉移者，在臨床上表現皆有上腹痛及脾臟腫大，經由超音波及電腦斷層掃描得知為低密度腫瘤，病理證實第一例為分化不良的胃癌，而第二例為黏液性胃癌，第一例病患的脾臟血管攝影在靜脈相後期顯示有多個位密度的腫瘤，第二例因脾臟腫瘤壞死形成膿腫而導致發高燒及寒戰，故作了緊急探腹手術。

關鍵字

胃癌；脾癌轉移癌

並列摘要

Primary and secondary tumors of the spleen are rarely found. Roussellot reported only four primary and six secondary splenic tumors among 225,405 admissions. In recent years, the advantage of radionuclide scanning, sonography and computer tomography increased the rate of detection for splenic masses. We are reporting two cases of gastric carcinoma with splenic metastasis that manifested clinically as LUQ pain and splenomegaly. They were detected as hypodense masses in sonography and computer tomography and confirmed histologically as poorly differentiated adenocarcinoma of the stomach in the first case and mucoid carcinoma in the second case. Splenic angiography was performed in the first case showing multiple hypodense masses in the late venous phase. Emergency laparotomy was done in the second case to terminate the high fever and chill due to abscess formation of the necrotizing tumor within the spleen.

並列關鍵字

Gastric cancer ； Spleen ； Metastatic tumor

國際替代計量

Secondary Splenic Tumor-Two Case Reports

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