A 67-year-old woman presented to our hospital with a 4-month history of abdominal distension and back pain. Laboratory tests were unremarkable except for a slight elevation of serum CA125 level (94 U/ml, normal range <35 U/ml). Computed tomography showed a large protruding cystic mass in the spleen, multiple liver nodules (Fig. 1A) and supraclavicular lymph-adenopathy (Fig. IB, arrow). Subsequently performed percutaneous needle biopsy of the liver tumor suggested a diagnosis of atypical vascular neoplasm. Because of the exaggerating left back pain and risk of rupture, splenectomy was performed for the purpose of tumor reduction and pain relief.
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机译：一名67岁的妇女因腹胀和背痛出现4个月的病史到我院就诊。实验室检查无异常，只是血清CA125水平略有升高（94 U / ml，正常范围<35 U / ml）。计算机体层摄影术显示脾脏中有大的突出性囊性肿块，多个肝结节（图1A）和锁骨上淋巴结肿大（图IB，箭头）。随后进行的肝肿瘤经皮穿刺活检提示诊断为非典型血管瘤。由于过度的左背疼痛和破裂的风险，因此为了减少肿瘤和减轻疼痛而进行了脾切除术。
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