He was admitted to our hepatobiliary surgery department and was considered to have no indication for surgery.
The abdominal MR showed a splenic occupancy.
Spleen occupancy.
Occupation of the spleen
Splenic occupancy
Retroperitoneal occupancy.
After discussion with the patient and family, the decision was made to perform a splenic occupancy biopsy with microwave ablation.
The spleen was fixed by 22G fine needle puncture.
The pathology was taken and the tumor was punctured with microwave ablation needle and treated with multi-point ablation.
Microwave ablation.
Microwave ablation.
The complete absence of enhancement of the splenic tumor was seen on review, suggesting complete ablation.
No enhancement of the original splenic tumor.
No enhancement of the splenic tumor.
No enhancement of spleen tumor.
The pathology was lymphoma, and the patient was transferred to oncology department for systemic chemotherapy.
Point of view.
Spleen tumor is rare clinically, and sometimes it is difficult to diagnose. If puncture biopsy is performed alone, there is a higher risk of bleeding from the spleen, if biopsy is performed simultaneously with ablation, it can not only stop bleeding, but also inactivate the tumor, which is a better plan. However, in case of biopsy failure, it may lead to unknown diagnosis, so the level of biopsy of the operator is required to be high.
The patient’s biopsy pathology was lymphoma, and the splenic tumor was completely inactivated after ablation treatment.
Systemic chemotherapy is the current standard protocol.
Whether it is feasible to perform particle implantation for retroperitoneal tumors if chemotherapy is not sensitive remains to be tried.