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Классификация очаговых образований селезенки

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Частота очаговых образований селезенки составляет 3,2–4,2% на 100 000 населения. В последние десятилетия в публикациях, проводящих обзор относительно очаговых образований селезенки, в основном приводят классификации прошлых лет, отмечая их несоответствие современным требованиям, не делая попыток каких-либо собственных обобщений. Материал и методы. Анализу подвергнут опыт лечения 350 больных различными новообразованиями селезенки за период с 1980 по 2012 г. Изучены данные литературы, содержащие анализ значительных по числу пациентов исследований новообразований селезенки и публикации, посвященные единичным наблюдениям редких морфологических форм образований селезенки. Результаты. Представленные классификации не всегда удовлетворяют требованиям практических врачей, в том числе морфологов. На основе патологической и генетической классификации опухолей мягких тканей и костей (Лион, 2002) разработаны две собственные классификации опухолевых и неопухолевых образований селезенки. Заключение. Представленные классификации позволяют более четко дифференцировать очаговые образования селезенки. Учет всего многообразия морфологических форм очаговых образований селезенки позволяет правильно поставить диагноз, что является залогом выбора оптимальной тактики лечения пациента

Ключевые слова:
очаговые образования селезенки, доброкачественные, злокачественные, классификация

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Classification of Focal Spleen Formations

Frequency of the focal splenic masses comes to 3.2–4.2% per 100.000 population. In the publications which are carrying out the focal splenic masses review in the last decades, generally give classifications of last years, noting their discrepancy to modern requirements, without doing attempts of any own interpretations. Material and methods. An experience of treatment of 350 focal splenic masses patients of various morphological forms in which 352 lesions during the period from 1980 to 2012 yy. Literature data including significant number of splenic focal mass patients and as well as the single case publications, devoted to the extremely rare morphological forms of spleen lesions are studied. Results. Existing classifications does not always satisfy practical physicians, including pathologists needs. In this connection, based on pathological and genetic classification of tumors of soft Tissue and Bone (Lyon, 2002), two own classifications of focal splenic masses (tumorousl and not tumorous) are elaborated. Conclusion. The presented classifications allows more accurately differentiate focal splenic masses. Consideration of all variety of morphological forms of focal splenic masses allows to develop correct diagnosis, and prerequisite of optimal treatment strategy.

Keywords:
focal splenic masses, benign, malignant, classification