脾脏原发性恶性肿瘤非常少见。脾脏原发性血管肉瘤,又称恶性血管内皮细胞瘤,是一种高度恶性的血管源性肿瘤。迄今为止,据文献报告约140余例。我院偶遇一例,现报告如下: 病例资料:患者,女必,40岁。自觉上腹部疼痛不适,伴乏力、心悸、消瘦二月余。体检:左中上腹扪及一包块,表面光滑,质偏硬,活动性差。实验室检查提示中度贫血。 Primary malignant tumors of the spleen are rare. Spleen primary angiosarcoma, also known as malignant vascular endothelial cell tumor, is a highly malignant angiogenic tumor. So far, according to the literature, about 140 cases have been reported. One case in our hospital was encountered. The report is as follows: Case information: Patient, female, 40 years old. I feel pain in the upper abdomen, with fatigue, palpitations, weight loss more than two months. Physical examination: left middle upper abdomen and a mass, the surface is smooth, the quality is hard, activity is poor. Laboratory tests suggest moderate anemia.