Indications for splenectomy in the B-cell lymphoid neoplasia and its results
Objective. To summarize the indications for splenectomy in the patients, suffering B-lymphoproliferative neoplasia and to estimate its efficacy.
Materials and methods. Splenectomy was performed in 41 patients, suffering chronic lymphocytic leukemia (CHLL), in 46 patients, suffering lymphoma of the splenic marginal zone (LSMZ), in 27 patients with hairy-cell leukemia (HCL).
Results. Splenectomy while diagnostic problems present gives possibility to verify a variant of lymphoid neoplasia. Operation permits to eliminate the tumor of large volume, the abdominal compression, hemolysis, the thrombocytes quantity normalization, lowering or disappearance of need for cytostatic therapy. Immediate positive result was achieved in 92.7% patients, suffering CHLL, in 95.7% patients with LSMZ, in 81% patients with HCL.
Conclusion. Splenectomy in lymphoid neoplasia is performed in accordance to diagnostic and/or the treatment indications. Splenectomy with the treatment objective is indicated in presence of massive splenomegaly, resistant to cytostatic therapy with signs of abdominal compression, hemocytopenia of the immune or hypersplenic character, regional portal hypertension.
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