脾脏原发性肿瘤非常罕见,以脉管原性最多见,其中以良性者居多,恶性者多为血管肉瘤,更罕见。我科从1970年～1992年,22年间仅遇见1例脾脏原发性血管肉瘤,报告如下。患者男,50岁。因腹痛、腹胀、消瘦并呈进行性加重就诊。查体:吸气时左腋前线肋下 Spleen primary tumors are very rare, the most common vasculogenic, of which the majority of benign, malignant mostly angiosarcoma, more rare. Our department from 1970 to 1992, 22 years only met a case of splenic primary angiosarcoma, the report is as follows. Male patient, 50 years old. Due to abdominal pain, abdominal distension, weight loss and progressive deterioration of treatment. Examination: Inspiratory left anterior axillary ribs