Fine Needle Aspiration of Thoracic Splenosis
| Autor: | Tullio Biraghi, Anna Coci, Corrado Schmid, Giuseppe Renne |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Thorax
medicine.medical_specialty education.field_of_study Histology medicine.diagnostic_test business.industry Population General Medicine Hemothorax medicine.disease Pathology and Forensic Medicine Surgery Fine-needle aspiration Cytopathology Splenic Tissue Biopsy medicine Radiology education business Thoracic Neoplasm |
| Zdroj: | Acta Cytologica. 43:492-494 |
| ISSN: | 1938-2650 0001-5547 |
| DOI: | 10.1159/000331107 |
| Popis: | BACKGROUND Thoracic splenosis is a rare event, and fine needle aspiration (FNA) of a pleural implant of splenic tissue can be a pitfall when previous anamnestic data are ignored. CASE A 53-year-old male underwent FNA of a left thoracic subpleural nodule highly suggestive of a metastatic lesion. The presence of a population of small and medium-sized lymphocytes suggested the possibility of lymphoproliferative disease; frozen sections confirmed this possibility. The final diagnosis was normal splenic tissue. Twenty-five years earlier the patient sustained a gunshot wound in the left side of the upper abdomen followed by splenectomy and drainage of the left pleural cavity because of mild, concomitant hemothorax. CONCLUSION A left pleural thoracic nodule in subjects with a previous history of traumatic rupture of the spleen must be considered highly suggestive of thoracic splenosis. Scintigraphy with Tc 99 m and magnetic resonance imaging are diagnostic, while FNA, especially in the absence of anamnestic data, can create a pitfall that can induce inappropriate removal of ectopic, normally functioning splenic tissue. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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