脾臓Sclerosing angiomatoid nodular transformationの1例  [in Japanese] A CASE OF SPLENIC SCLEROSING ANGIOMATOID NODULAR TRANSFORMATION  [in Japanese]

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Abstract

非常に稀な脾臓腫瘤性病変の手術例を報告する.症例は30歳・男性で,検診での超音波検査にて脾臓腫瘤を指摘され経過観察中であった.<BR>超音波検査やCT検査にて徐々に腫瘤径の増大傾向あり,PET検査でも異常集積を認め悪性疾患を否定できず脾臓摘出術を施行した.腫瘤は境界明瞭な充実性腫瘤で,免疫組織学検査にてsclerosing angiomatoid nodular transformation (SANT)と診断された.SANTは2004年に初めて報告された稀な脾臓腫瘤形成性疾患である.今回,本邦報告例とともに文献的考察を加え報告する.

We report a very rare case of a resected splenic tumor. A 30-year-old man was incidentally found to have a splenic tumor by ultrasonography during a medical examination. Ultrasonography and CT showed that the tumor was gradually increasing in size. The tumor showed high FDG accumulation on FDG-PET. Therefore, malignant disease could not be ruled out, and splenecomy was performed. On the basis of histopathological findings, the splenic solid tumor with a clear margin was diagnosed as sclerosing angiomatoid nodular transformation (SANT). SANT is a very rare tumor-forming disorder of the spleen that was initially reported in 2004. We describe our case and other SANT cases in Japan and review the relevant literature.

Journal

  • Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association)

    Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) 74(8), 2284-2288, 2013-08-25

    Japan Surgical Association

References:  13

Codes

  • NII Article ID (NAID)
    10031203104
  • NII NACSIS-CAT ID (NCID)
    AA11189709
  • Text Lang
    JPN
  • Article Type
    NOT
  • ISSN
    13452843
  • Data Source
    CJP  J-STAGE 
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