A rare case of a splenic hamartoma in a patient with a huge palpable abdominal mass: a case report
| Autor: | Charikleia Triantopoulou, Petros Maniatis, Anastasia Tzivelopoulou, Dimitris Fagkrezos, Georgia Kyriakopoulou, Paraskevi A. Vlachou, John Papailiou |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Pathology congenital hereditary and neonatal diseases and abnormalities medicine.medical_treatment Hamartoma Splenectomy Case Report Malignancy Benign tumor Diagnosis Differential Splenic hemangioma Abdomen medicine Humans Splenic Diseases Medicine(all) MRI findings Incidental Findings Palpation business.industry General Medicine medicine.disease Splenoma medicine.anatomical_structure Treatment Outcome Histopathology Female Radiology Splenic disease Differential diagnosis business Tomography X-Ray Computed Spleen CT |
| Zdroj: | Journal of Medical Case Reports |
| ISSN: | 1752-1947 |
| Popis: | Introduction Splenic hamartoma is a primary benign tumor of the spleen, which is often found incidentally. Splenic hamartomas are very rare, with approximately 150 cases documented in the literature to date. They represent benign vascular proliferation. Histological findings consist of disorganized stroma and vascular channels of varying width, with or without lymphoid follicles. Case presentation We present the case of a 39-year-old Greek woman, with no significant medical history, who was diagnosed incidentally with an enormous splenic hamartoma on computed tomography, finally confirmed by surgery and histopathology. Hamartomas are benign lesions, and it is important to differentiate them from malignancy. Conclusion Hamartoma represents a rare vascular entity characterized by a cluster of differentiation 8-positive immunophenotype. It is usually asymptomatic but large hamartomas may present with symptoms such as hemopoetic disorders, which resolve after splenectomy. It is important for radiologists to be able to differentiate splenic hamartoma from malignant entities. |
| Databáze: | OpenAIRE |
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