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中国医药导刊 ›› 2022, Vol. 24 ›› Issue (12): 1258-1260.

• 管理与实践 • 上一篇    下一篇

脾脏窦岸细胞血管瘤2例临床病理分析并文献复习

王德生1, 王天科2*, 马周鹏2   

  1. 1.淄博市博山区医院病理科, 山东 淄博 255200;
    2.上海市金山区中西医结合医院病理科, 上海 201501
  • 收稿日期:2022-06-30 修回日期:2022-09-07 出版日期:2022-12-28 发布日期:2022-12-28

Clinicopathological Analysis of 2 Cases of Splenic Littoral Cell Angioma and Literature Review

  1. 1.Department of Pathology, Zibo City Boshan District Hospital, Shandong Zibo 255200, China;
    2.Department of Pathology, Shanghai Jinshan District Integrated Traditional Chinese and Western
         Medicine Hospital, Shanghai 201501, China
  • Received:2022-06-30 Revised:2022-09-07 Online:2022-12-28 Published:2022-12-28

摘要: 目的:分析脾脏窦岸细胞血管瘤(SLCA)的临床病理学表现,旨在提高临床医生对SLCA的诊治水平。方法:回顾性分析 2 例SLCA患者的临床病理学资料,并复习相关文献。结果:2例SLCA均为单发,巨检分别呈灰红色及暗红色的肿块,边界较清晰,无包膜,切面海绵状,质地较软、韧;镜检2例肿瘤的主要结构为扩张伴局部狭窄的窦样血管腔隙和灶状毛细血管,部分互相吻合呈网状,管内可见不规则乳头状突起,内衬柱状或立方状细胞、较肥胖,无明显异型性及核分裂象;免疫组化显示2例肿瘤CD31、CD68、CD34、Lysozyme均呈阳性表达;Ki67(+)<2%。结论: SLCA镜下表现为形态不规则的扩张血管腔相互吻合形成的网状结构,同时具有反映脾窦衬里内皮细胞和组织细胞双重潜能的组织学和免疫组化特征,以此可同脾脏血管瘤等其他肿瘤鉴别。

关键词: font-size:medium, ">脾脏;窦岸细胞血管瘤;病理学;诊断

Abstract: Objective: To analyze the clinicopathological features of splenic littoral cell angioma (SLCA) and improve the clinical diagnostic level of SLCA. Methods:The clinicopathological data of 2 patients with SLCA were analyzed retrospectively, and the corresponding literatures were reviewed. Results:Both 2 cases of SLCA were single tumors. The gross examination showed grayish red and dark red masses respectively, with clear boundary and no capsule, spongy section, soft and pliable texture. Microscopically, the main structure of the 2 cases of tumor was dilated sinus as vascular lacunae with local stenosis and focal capillaries, which were anastomosed to each other and showed a network. Irregular papillary processes can be observed inside the tube, lined with columnar or cubic cells which were obese, without obvious atypia and mitotic. Immunohistochemistry showed positive expression of CD31, CD68, CD34 and Lysozyme in the 2 cases of tumor; Ki67(+)<2%。 Conclusion:SLCA microscopically shows a reticular structure formed by the anastomosis of irregular dilated vascular cavities, which shows the histological and immunohistochemical characteristics reflecting the dual potential of splenic sinus lining endothelial cells and histiocytes, and can be distinguished from other tumors such as splenic hemangioma.

Key words: font-size:medium, ">Spleen; Splenic littoral cell angioma; Pathology; Diagnosis

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