Diagnosis and Treatments of the Splenic Space-Occupied Lesions

Objective To improve the diagnosis and treatment of the splenic space-occupied lesions. Methods Diagnosis and treatment of 40 cases of the splenic space-occupied lesions were retrospectively reviewed in combined with some related literatures. Results Of the 40 cases, 37 cases were confirmed the diagnosis by operations and histological examinations, and the remaining 3 cases were proved by imaging examinations. Among the 37 cases, 24 cases (65%) were benign and 14 cases (35%) were malignant. The preoperative diagnostic rate was 64.8%(24/37). Laparotomy and splenectomy were performed in 28 cases, dissection of the original neoplasm plus splenectomy in 10 splenic metastasis cases and splenectomy by laparoscopy in 1 case. All the cases were cured and discharged. Conclusions Besides the clinic symptoms and signs, CT and B-US are also important methods for location and identification of the lesions. The splenic neoplasm should undergo early operation and the surgical management is mainly splenectomy.