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Oncology Department"Basic information"patients, female, 69 years old"main complaint"to carry out sexual wasting fever, fatigue 8 days"other examination"WBC: 19x 10 9/L, liver function ALP: 232U/L, B ultra: liver and spleen multiple real-life accountability(image picture)
how to diagnose the problem?comments: spleen obviously irregular increase, uneven density in the spleen, can be seen multiple sizes ranging from low density stoves, the realm is not clear, the lesions can be seen scattered in calcificationEnhanced scans showed irregular and significant reinforcement, and intravenous reinforcement continuedThe liver can be seen in the circular low density lesions, spleen lesions significantly heavier than the liverSpleen hemangiosarcoma and liver metastasis may beResultsPathological diagnosis: spleen vascular endothelial sarcoma "case summary" primary spleen vascular endothelial sarcoma is a malignant tumor originating from endothelial cells in the spleen sinuses, the incidence rate is 0.14 to 0.25/1 million, in the spleen primary malignant tumor accounted for the 2nd place The age of onset is 19-86 years old, the average age is 52 years old, slightly more male than female, the ratio of female is 4:3 Clinical manifestations of rapid increase in the spleen accompanied by upper left abdominal pain, anemia, liver swelling and weight loss; The disease has a high degree of malignancy, rapid progress in the course of the disease, poor prognosis, its half-year survival rate is only 20% CT performance: 1 The spleen is obviously enlarged and uneven in density, which can be seen in single or multiple low-density stoves, which can be calcification 2 Enhanced scan spleen lesions show uneven light moderate reinforcement, can have cystic necrosis, can also have self-lesions edge to the center of extended reinforcement 3 Related CT performance of liver, lung, bone, brain and other metastasis source: the image
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