Middle-aged women, fatigue with anemia for more than a month, please diagnose!

Department ofOncology department"Basic Information"patients, female, 51-year-old"Main complaint"fatigue with anemiafor one month"Image"theofdiagnosis?discussioncomments: spleen enlargement, about 8 rib units, spleen can be seen in a number of circular low-density stove, size is different, density is uniform, the boundary is clear; After the peritoneum did not see swollen lymph nodes, the abdominal cavity did not see the signs of fluid accumulationConsider the possible spleen lymphomaresultsPathological diagnosis: spleen vascular lymphoma "case small knots" occurred in the mesocardy tissue, divided into angioma, lymphoma and angiolympy alumoma, mostly congenital, with angioma the most common, autopsy incidence rate of 0.03% to 1.4%, lymphoma is a rare disease, afew-blood lymphoma is more rare, the literature indicates that it is only 2% of the spleen tumor CT performance: 1 flat sweep for multiple type of circular low density stove, the density is uneven, CT value between 15 to 30HU, the edge is not sharp and sharp, some lesions edge slightly split leaves, some lesions are often located under the spleen envelope 2 With the characteristics of lymphoma and hemangioma, the edge of the lesions depends on the number of blood vessels and lymphatic tube composition, vascular composition, uneven reinforcement, including mesh-shaped strips, uneven thickness, pathological basis for incomplete development of blood vessel syntilstens caused by the lymphatic tube composition, low density, light reinforcement of the edge, when the whole spleen is honeycomb-like differential diagnosis: the disease should be identified with spleen cysts, metastatic tumors, lymphoma The edges of the spleen cysts are sharp and sharp, enhancing without reinforcement Metastatic tumors, lymphoma to the reality of the main, and the disease to cystic-based, enhanced scanning the former to motion, vein period obvious, the latter reinforcement generally occurred in the delay period Source: Image Park