Laparoscopic partial splenectomy for sclerosing angiomatoid nodular transformation of the spleen: a case report and literature review

doi:10.3877/cma.j.issn.1674-3946.2026.01.021

Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2026, Vol. 20 ›› Issue (01): 75-77. doi: 10.3877/cma.j.issn.1674-3946.2026.01.021

• Original Article • Previous Articles

Laparoscopic partial splenectomy for sclerosing angiomatoid nodular transformation of the spleen: a case report and literature review

Zhijun Li¹, Hongwei Li², Ruichang Lv³, Yong Huang², Peizhong Shang³, Xiaowu Li³^,^†()

¹Department of Imaging, the 81st Group Army Hospital of PLA, Zhangjiakou Hebei Province 075000, China
²Department of Pathology & Medical Laboratory, the 81st Group Army Hospital of PLA, Zhangjiakou Hebei Province 075000, China
³Department of Gerneral Surgery, the 81st Group Army Hospital of PLA, Zhangjiakou Hebei Province 075000, China

Received:2025-01-27 Online:2026-02-26 Published:2026-01-16
Contact: Xiaowu Li
Supported by:
Zhangjiakou City Key R & D Project for Hygiene, Health and Biomedicine(2322142D)

Abstract

Abstract:

Objective

To explore the feasibility and efficacy of laparoscopic partial splenectomy in the treatment of sclerosing angiomatoid nodular transformation (SANT).

Methods

A patient was found to have a space-occupying lesion in the upper pole of the spleen during a physical examination via ultrasound. Enhanced computed tomography (CT) suggested a benign lesion, and subsequent laparoscopic partial splenectomy was performed.

Results

The surgery was successful, and the patient recovered well postoperatively. Pathological diagnosis confirmed sclerosing angiomatoid nodular transformation of the spleen. Follow-up CT examinations at 3 months, 1 year, and 3 years after surgery showed no tumor recurrence, and routine blood tests were normal.

Conclusion

Laparoscopic partial splenectomy is a safe and effective surgical method for the treatment of sclerosing angiomatoid nodular transformation of the spleen. It is particularly suitable for lesions located at the marginal parts of the spleen and helps preserve various physiological functions of the spleen.

Key words: Splenic Benign Tumor, Laparoscopic Partial Splenectomy, Sclerosing Angiomatous Nodular Transformation

Zhijun Li, Hongwei Li, Ruichang Lv, Yong Huang, Peizhong Shang, Xiaowu Li. Laparoscopic partial splenectomy for sclerosing angiomatoid nodular transformation of the spleen: a case report and literature review[J]. Chinese Journal of Operative Procedures of General Surgery(Electronic Edition), 2026, 20(01): 75-77.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhpwkssxzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.1674-3946.2026.01.021

https://zhpwkssxzz.cma-cmc.com.cn/EN/Y2026/V20/I01/75

Figures/Tables 3

References 12

[1]	赵建民, 梅雪, 刘伟, 等. 脾脏硬化性血管瘤样结节性转化临床病理分析并文献复习[J]. 诊断病理学杂志, 2022, 29 (06): 491-495.
[2]	Toshikatsu N, Kohei H, Masatsugu I, et al. Laparoscopic splenectomy for sclerosing angiomatoid nodular transformation of the spleen: Report a case [J]. Int J Surg Case Rep, 2024, 119: 109699.
[3]	李海超. 脾脏硬化性血管瘤样结节性转化临床回顾性分析[D]. 济南: 山东大学, 2022: 8.
[4]	Ji YK, Hee JL, Eun YJ, et al. Splenic sclerosing angiomatoid nodular transformation in an 8-year-old child [J]. J Korean Soc Radiol, 2025, 86(1): 191-198.
[5]	Xiang X, Li Y, Liu C. Sclerosing angiomatoid nodular transformation of the spleen: clinical, computed tomography, and magnetic resonance imaging characteristics[J]. Quant Imag Med Surg, 2025, 15(3): 1888-1897.
[6]	张杨, 岳学旺, 姜非, 等. 脾脏硬化性血管瘤样结节性转化的CT表现[J]. 中华普通外科杂志, 2024, 39(05): 379-380.
[7]	Eri N, Yasutaka I, Kensuke D, et al. A case of sclerosing angiomatoid nodular transformation with central calcification[J]. Radiol Case Rep, 2025, 20(3): 1380-1385.
[8]	Liao J, Wang Z, Li Q, et al. CT and MRI features of sclerosing angiomatoid nodular transformation of the spleen: A report of 18 patients with pathologic correlation[J]. Diagn Interv Imaging, 2021, 102(6): 389-396.
[9]	Trigui A, Toumi N, Bouzid A, et al. Sclerosing angiomatoid nodular transformation of the spleen: a systematic review [J]. Curr Surg Rep, 2024, 12(7): 161-172.
[10]	齐峰, 戴朝六. 脾血管瘤的诊断及治疗进展[J/CD]. 中华普外科手术学杂志(电子版), 2021, 15(01): 114-116.
[11]	刘桂杰, 薄晓辉, 叶静, 等. 腹腔镜手术治疗脾脏硬化性血管瘤样结节性转化的临床价值[J]. 腹腔镜外科杂志, 2022, 27(03): 189-193.
[12]	张腾花, 尚培中, 王晓梅, 等. 外伤性脾破裂三阶梯分层治疗策略[J/CD]. 中华普外科手术学杂志(电子版), 2024, 18(05): 510-512.

Please choose a citation manager

Content to export

Laparoscopic partial splenectomy for sclerosing angiomatoid nodular transformation of the spleen: a case report and literature review

RichHTML

PDF (PC)

Knowledge